Physician
Ghanshyam Gupta, M.D. PC
Ghanshyam Gupta, M.D. PC was paid $1.74M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoGHANSHYAM GUPTA, M.D. PC
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
33aNPI1811009236assigned 08/31/2006
33bProvider typeGastroenterology Physician
28Total paid$1.74M
24GClaims23,242
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Maryland
Rank by total paid#4 of 55
Median peer was paid$64K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 343 | $29K | |
| 2019 | 330 | $16K | |
| 2020 | 2,829 | $203K | |
| 2021 | 4,156 | $325K | |
| 2022 | 4,969 | $379K | |
| 2023 | 5,549 | $437K | |
| 2024incomplete | 5,066 | $354K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 6,463 | 5,802 | $429K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 2,715 | 2,438 | $200K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 10% | 2,330 | 2,168 | $181K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.7% | 1,458 | 1,343 | $152K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.8% | 906 | 827 | $136K |
| 99243 | 7.4% | 1,070 | 1,016 | $129K | |
| 88342 | 6.2% | 1,847 | 1,605 | $107K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.5% | 710 | 614 | $96K |
| 88312 | 4.4% | 1,611 | 1,489 | $76K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 857 | 733 | $71K |
| 88313 | 3.2% | 1,744 | 1,611 | $55K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 312 | 295 | $47K |
11 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.4% | 238 | $41K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 30 | $6K |
| 99254 | <1% | 35 | $5K | |
| 99242 | <1% | 36 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 65 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 82 | $2K |
| 3017F | <1% | 382 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $926.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 203 | $587.89 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 27 | $377.75 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 109 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGUPTA, GHANSHYAM (HEALTH CARE PROVIDER)