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Manish Gupta

Internal Medicine, Cardiovascular Disease·Las Vegas, NV·NPI: 1528250966SharePrint ReportML Risk: 82%

Total Paid

$261K

$260,505

Total Claims

3,127

Beneficiaries

1,606

1.9 claims/patient

Avg Cost/Claim

$83

🔍 Analysis

Provider Overview

Manish Gupta is a Internal Medicine, Cardiovascular Disease provider based in Las Vegas, NV. From 2018-01 through 2022-10, this provider received $261K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 11 distinct procedure codes.

Key Findings

  • 📊Bills 2.2× the national median for 99233 (99233), at $78 per claim vs. the median of $35, placing them above the 90th percentile.

Yearly Spending

2018
$255K
-98%
2022
$6K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 49% of total spending.

99233Top 10%

Subsequent hospital care, per day, high complexity

$129K

1,658 claims · 49.4%

Your Cost: $77.63/claim|Median: $35.30
2.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$63K

479 claims · 24.2%

Your Cost: $131.64/claim|Median: $67.32
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$28K

309 claims · 10.7%

Your Cost: $89.82/claim|Median: $54.68
1.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$20K

328 claims · 7.7%

Your Cost: $61.34/claim|Median: $37.81
1.6× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$7K

106 claims · 2.7%

Your Cost: $66.61/claim|Median: $14.00
4.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$6K

82 claims · 2.2%

Your Cost: $70.11/claim|Median: $23.99
2.9× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$3K

35 claims · 1.3%

Your Cost: $95.49/claim|Median: $53.41
1.8× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$2K

12 claims · 0.7%

Your Cost: $151.33/claim|Median: $84.03
1.8× median
99306Top 5%

$2K

13 claims · 0.7%

Your Cost: $136.14/claim|Median: $29.97
4.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$758

55 claims · 0.3%

Your Cost: $13.77/claim|Median: $9.70
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$371

50 claims · 0.1%

Your Cost: $7.42/claim|Median: $5.60
1.3× median

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