Physician

Sandeep S Gupta, M.D.

According to 2025 Medicare claims, Sandeep Gupta, M.D. (NPI: 1194990945) practices pulmonary disease in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is NORTHWEST IOWA HOSPITAL CORPORATION (NPI: 1215962550; TIN: 421019872) and primary practice location at 51104-3734. Gupta is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Bryan Health Connect ACO, LLC (ACO ID: A4573), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 50 LLC (ACO ID: A5160), UnityPoint Accountable Care, L.C. (ACO ID: A5170), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 888 traditional Medicare patients, billed 3,626 HCPCS/CPT codes, and received $212,171 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 4,967 prescription claims across 735 beneficiaries totaling $3,149,970 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 3,570 claims. Open Payments data shows 7 records totaling $152. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $33,909 to $3,149,970. For DME billing, reported payments rose steadily, from $7,430 to $336,529.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	568	1,657	$109,160
2016	765	2,685	$197,596
2017	870	3,011	$223,161
2018	1,064	3,592	$236,108
2019	1,088	3,813	$259,825
2020	1,072	3,971	$270,765
2021	1,097	4,193	$292,276
2022	1,032	3,717	$221,710
2023	927	3,518	$217,596
2024	888	3,626	$212,171

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	138	300	$33,909
2016	243	811	$154,460
2017	326	1,451	$312,755
2018	410	2,130	$569,839
2019	485	2,780	$1,407,880
2020	570	3,408	$2,029,507
2021	585	3,133	$1,983,020
2022	564	3,147	$2,059,115
2023	705	3,928	$3,140,053
2024	735	4,967	$3,149,970

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	80	$5,422
2016	250	774	$48,510
2017	300	1,214	$60,651
2018	572	1,924	$149,817
2019	694	2,545	$215,751
2020	841	3,170	$384,380
2021	810	2,897	$346,106
2022	797	2,737	$320,572
2023	865	3,045	$361,855
2024	975	3,570	$359,633

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	303	$66
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	220	480	$57
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	410	497	$42
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	222	261	$12
94010	Test to measure expiratory airflow and volume	444	492	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ofev	Nintedanib Esylate	73	2,190	$935,071
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	1,145	36,390	$762,970
Breo Ellipta	Fluticasone/Vilanterol	411	12,870	$167,418
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	321	10,290	$156,880
Nucala	Mepolizumab	31	868	$114,650

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	19	177	$170,974
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	91	635	$55,776
E0483	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each	Y	N/R	27	$23,084
E1392	Portable oxygen concentrator, rental	Y	60	429	$15,302
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$9,129

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$152	Inspire Medical Systems, 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 Sandeep S. Gupta, M.D.?

Tedicare shows public-source Medicare data for Sandeep S. Gupta, M.D. (NPI 1194990945), 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 Sandeep S. Gupta, M.D. have ACO affiliation data?

Sandeep S. Gupta, M.D. is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

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

Sandeep S. Gupta, M.D. is linked to NORTHWEST IOWA HOSPITAL CORPORATION (billing NPI 1215962550) in the available physician profile data.

Does Sandeep S. Gupta, M.D. have Open Payments data?

Sandeep S. Gupta, M.D. has 7 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.