Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GHANSHYAM GUPTA, M.D. PC

NPI: 1811009236 · ROCKVILLE, MD 20850 · Gastroenterology Physician · NPI assigned 08/31/2006

$1.74M
Total Medicaid Paid
23,242
Total Claims
21,029
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUPTA, GHANSHYAM (HEALTH CARE PROVIDER)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 343 $29K
2019 330 $16K
2020 2,829 $203K
2021 4,156 $325K
2022 4,969 $379K
2023 5,549 $437K
2024 5,066 $354K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,463 5,802 $429K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,715 2,438 $200K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,330 2,168 $181K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,458 1,343 $152K
45380 Colonoscopy, flexible; with biopsy, single or multiple 906 827 $136K
99243 1,070 1,016 $129K
88342 1,847 1,605 $107K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 710 614 $96K
88312 1,611 1,489 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 857 733 $71K
88313 1,744 1,611 $55K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 312 295 $47K
99244 Office or other outpatient consultation, moderate to high complexity 238 222 $41K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 30 26 $6K
99254 35 29 $5K
99242 36 36 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 65 54 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 82 48 $2K
3017F 382 364 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $926.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 203 166 $587.89
99222 Initial hospital care, per day, moderate complexity 27 27 $377.75
G8510 Screening for depression is documented as negative, a follow-up plan is not required 109 104 $0.00