Physician

Priya Gupta, MD

According to 2025 Medicare claims, Priya Gupta, MD (NPI: 1295228278) practices ophthalmology in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is STEVE B. PARK, MD PC (NPI: 1235246984; TIN: 161440963) and primary practice location at 14624-1367. Gupta is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 140 traditional Medicare patients, billed 2,113 HCPCS/CPT codes, and received $101,897 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 362 prescription claims across 206 beneficiaries totaling $28,456 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 20 records totaling $1,017. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $8,665 to $28,456. 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$51K$102K2023 Medicare payment: $6,599 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $101,897 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20233896$6,599
20241402,113$101,897

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$14K$28K2018 Drug cost: $8,665 (USD; Tot_Drug_Cst)2019 Drug cost: $3,514 (USD; Tot_Drug_Cst)2021 Drug cost: $1,077 (USD; Tot_Drug_Cst)2022 Drug cost: $260 (USD; Tot_Drug_Cst)2023 Drug cost: $4,213 (USD; Tot_Drug_Cst)2024 Drug cost: $28,456 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20182467$8,665
20193158$3,514
2020N/RN/RN/R
20211340$1,077
2022N/R15$260
20233574$4,213
2024206362$28,456

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
67028Injection of drug into eye2453$94
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more88101$93
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3542$59
92134Imaging of retina84127$27
G2211Visit 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's6576$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate1113,421$4,340
Ketorolac TromethamineKetorolac Tromethamine351,287$1,557
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat432,959$789
ErythromycinErythromycin Base31381$444
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha27351$434

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.20$1,017BIOTISSUE HOLDINGS INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Priya Gupta, MD?

Tedicare shows public-source Medicare data for Priya Gupta, MD (NPI 1295228278), 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 Priya Gupta, MD have ACO affiliation data?

Priya Gupta, MD is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476).

What billing organization is linked to Priya Gupta, MD?

Priya Gupta, MD is linked to STEVE B. PARK, MD PC (billing NPI 1235246984) in the available physician profile data.

Does Priya Gupta, MD have Open Payments data?

Priya Gupta, MD has 20 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.