Physician

Sanjay Gupta, MD

According to 2025 Medicare claims, Sanjay Gupta, MD (NPI: 1134116601) practices internal medicine in the Weirton-Steubenville, WV-OH market, with the plurality of this provider's patient population coming from Hancock, WV. This provider's primary affiliated billing organization is WMC PHYSICIAN PRACTICES LLC (NPI: 1518303288; TIN: 461883875) and primary practice location at 26062-0538. Gupta is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 509 traditional Medicare patients, billed 2,024 HCPCS/CPT codes, and received $127,586 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 9,028 prescription claims across 564 beneficiaries totaling $438,410 in drug costs, led by Eliquis (Apixaban). DME data shows 443 claims. Open Payments data shows 11 records totaling $775. 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 from a higher plateau to a lower plateau, from $310,402 to $127,586. Similarly, Part D prescription costs have declined steadily, from $817,647 to $438,410. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $39,694 and ending at $35,042.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	892	5,626	$310,402
2016	866	5,548	$310,128
2017	885	5,055	$290,943
2018	718	3,586	$194,592
2019	780	3,756	$202,501
2020	650	3,104	$164,969
2021	616	2,801	$158,918
2022	541	2,526	$143,116
2023	509	2,368	$136,409
2024	509	2,024	$127,586

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	594	17,901	$817,647
2016	643	18,146	$871,033
2017	650	17,678	$789,252
2018	638	16,959	$840,290
2019	715	16,217	$865,125
2020	661	13,570	$732,522
2021	594	11,459	$610,849
2022	585	10,586	$723,732
2023	581	9,828	$577,772
2024	564	9,028	$438,410

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	181	1,045	$37,470
2016	255	1,085	$31,235
2017	176	936	$22,383
2018	145	890	$21,038
2019	199	999	$25,674
2020	184	793	$23,455
2021	163	822	$26,732
2022	112	624	$24,351
2023	65	536	$24,730
2024	46	443	$28,850

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	166	$98
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	564	$74
99238	Hospital discharge day management, 30 minutes or less	55	64	$61
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	614	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	81	107	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	156	4,722	$92,919
Ozempic	Semaglutide	36	1,596	$47,547
Xarelto	Rivaroxaban	47	1,491	$27,844
Jardiance	Empagliflozin	31	1,078	$21,997
Januvia	Sitagliptin Phosphate	19	990	$18,122

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	36	$10,380
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	20	$3,949
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	46	$3,723
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	13	$2,155
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	23	$1,142

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$775	Medtronic, 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 Sanjay Gupta, MD?

Tedicare shows public-source Medicare data for Sanjay Gupta, MD (NPI 1134116601), 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 Sanjay Gupta, MD have ACO affiliation data?

Sanjay Gupta, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Sanjay Gupta, MD?

Sanjay Gupta, MD is linked to WMC PHYSICIAN PRACTICES LLC (billing NPI 1518303288) in the available physician profile data.

Does Sanjay Gupta, MD have Open Payments data?

Sanjay Gupta, MD has 11 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.