Physician

Ajay Gupta, MD

According to 2025 Medicare claims, Ajay Gupta, MD (NPI: 1043492341) practices thoracic surgery in the Detroit-Dearborn-Livonia, MI market, with the plurality of this provider's patient population coming from Wayne, MI. This provider's primary affiliated billing organization is IHA HEALTH SERVICES CORPORATION (NPI: 1255470233; TIN: 381917674) and primary practice location at 48197-1051. Gupta is affiliated with the McAuley Health Partners ACO, LLC (ACO ID: A4588), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 164 traditional Medicare patients, billed 250 HCPCS/CPT codes, and received $128,912 in Medicare payments. The top billing code was 33533 (Coronary artery bypass using artery graft, 1 graft). Part D data shows 156 prescription claims across 60 beneficiaries totaling $1,455 in drug costs, led by Atorvastatin Calcium (Atorvastatin Calcium). DME data shows 12 claims. Open Payments data shows 9 records totaling $321. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $96,913 and ending at $128,912. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,568 and ending at $1,455. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $1,898 to $417.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	161	346	$96,913
2016	192	372	$171,319
2017	248	462	$236,411
2018	223	381	$231,045
2019	157	277	$181,388
2020	97	172	$110,129
2021	136	207	$119,027
2022	142	229	$120,454
2023	174	336	$160,353
2024	164	250	$128,912

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	66	148	$5,568
2016	67	132	$3,661
2017	86	213	$4,742
2018	70	164	$3,458
2019	61	175	$4,540
2020	46	120	$3,137
2021	38	105	$12,410
2022	35	80	$3,363
2023	49	104	$3,935
2024	60	156	$1,455

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	43	$1,752
2016	N/R	107	$7,471
2017	N/R	16	$55
2018	N/R	12	$47
2019	N/R	12	$43
2020	N/R	12	$94
2021	N/R	12	$96
2022	N/R	12	$99
2023	N/R	12	$97
2024	N/R	12	$57

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
33533	Coronary artery bypass using artery graft, 1 graft	23	23	$1,410
33361	Replacement of aortic valve through the skin and femoral artery	56	56	$623
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	64	$98
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	28	28	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Atorvastatin Calcium	Atorvastatin Calcium	15	1,170	$122
Metoprolol Tartrate	Metoprolol Tartrate	37	1,830	$113
Amlodipine Besylate	Amlodipine Besylate	12	360	$42

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0776	Iv pole	Y	N/R	12	$57

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$321	ATRICURE, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Ajay Gupta, MD?

Tedicare shows public-source Medicare data for Ajay Gupta, MD (NPI 1043492341), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Ajay Gupta, MD have ACO affiliation data?

Ajay Gupta, MD is shown with ACO affiliation data for McAuley Health Partners ACO, LLC (MSSP, ACO ID A4588).

What billing organization is linked to Ajay Gupta, MD?

Ajay Gupta, MD is linked to IHA HEALTH SERVICES CORPORATION (billing NPI 1255470233) in the available physician profile data.

Does Ajay Gupta, MD have Open Payments data?

Ajay Gupta, MD has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.