Physician

Sunil Gupta, M.D.

According to 2025 Medicare claims, Sunil Gupta, M.D. (NPI: 1063489383) practices ophthalmology in the Pensacola-Ferry Pass-Brent, FL market, with the plurality of this provider's patient population coming from Escambia, FL. This provider's primary affiliated billing organization is SUNIL GUPTA MD LLC (NPI: 1588610075; TIN: 593482386) and primary practice location at 32503-2030.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,020 traditional Medicare patients, billed 162,397 HCPCS/CPT codes, and received $13,288,409 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 1,495 prescription claims across 453 beneficiaries totaling $108,308 in drug costs, led by Ilevro (Nepafenac). DME data shows 45 claims. Open Payments data shows 124 records totaling $348,237. 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 risen steadily, from $6,918,790 to $13,288,409. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$6.6M$13M2015 Medicare payment: $6,918,790 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $6,908,771 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $6,960,999 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $8,111,453 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $8,992,965 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $9,770,197 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $10,139,135 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $10,522,143 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $11,440,800 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $13,288,409 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,64748,361$6,918,790
20162,70645,755$6,908,771
20172,75345,270$6,960,999
20182,73948,720$8,111,453
20192,81948,585$8,992,965
20202,68641,122$9,770,197
20212,62342,928$10,139,135
20222,77354,451$10,522,143
20232,384106,795$11,440,800
20242,020162,397$13,288,409

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$104K$209K2015 Drug cost: $86,239 (USD; Tot_Drug_Cst)2016 Drug cost: $103,831 (USD; Tot_Drug_Cst)2017 Drug cost: $119,856 (USD; Tot_Drug_Cst)2018 Drug cost: $152,448 (USD; Tot_Drug_Cst)2019 Drug cost: $177,402 (USD; Tot_Drug_Cst)2020 Drug cost: $208,630 (USD; Tot_Drug_Cst)2021 Drug cost: $148,669 (USD; Tot_Drug_Cst)2022 Drug cost: $172,235 (USD; Tot_Drug_Cst)2023 Drug cost: $139,428 (USD; Tot_Drug_Cst)2024 Drug cost: $108,308 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153071,043$86,239
20163291,182$103,831
20173701,263$119,856
20183891,481$152,448
20194451,626$177,402
20204741,887$208,630
20214691,603$148,669
20224761,653$172,235
20234341,498$139,428
20244531,495$108,308

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$19K$37K2016 Medicare payment: $37,378 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $34,246 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,367 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,116 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
20165656$37,378
20174949$34,246
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R100$6,367
2024N/R45$4,116

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
J0178Injection, aflibercept, 1 mg4825,196$647
67028Injection of drug into eye1,0966,393$102
92014Established patient complete exam of visual system1,4905,402$91
92012Established patient problem focused exam of visual system479570$63
92134Imaging of retina1,7535,673$32

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
IlevroNepafenac411,426$21,186
Prednisolone AcetatePrednisolone Acetate24611,070$12,523
Bromfenac SodiumBromfenac Sodium511,679$12,039
CombiganBrimonidine Tartrate/Timolol251,061$6,693
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol502,986$5,977

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R29$3,474
E1392Portable oxygen concentrator, rentalYN/R16$642

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.54$12,535Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.68$335,702Genentech, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.2$17,495,092US Retina LLC

FAQ

What Medicare data is available for Sunil Gupta, M.D.?

Tedicare shows public-source Medicare data for Sunil Gupta, M.D. (NPI 1063489383), 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 Sunil Gupta, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sunil Gupta, M.D.?

Sunil Gupta, M.D. is linked to SUNIL GUPTA MD LLC (billing NPI 1588610075) in the available physician profile data.

Does Sunil Gupta, M.D. have Open Payments data?

Sunil Gupta, M.D. has 124 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.