Physician

Ajay K Gupta, M.D.

According to 2025 Medicare claims, Ajay Gupta, M.D. (NPI: 1316049265) practices ophthalmology in the Rockford, IL market, with the plurality of this provider's patient population coming from Winnebago, IL. This provider's primary affiliated billing organization is ROCKFORD EYE & LASER CENTER LTD. (NPI: 1073015434; TIN: 824572455) and primary practice location at 61111-6955. Gupta is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 55 traditional Medicare patients, billed 164 HCPCS/CPT codes, and received $19,091 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 287 prescription claims across 115 beneficiaries totaling $26,074 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). No Open Payments records. 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 sharply higher in recent years, from $10,274 to $19,091. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $20,976 and ending at $26,074. 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.

Year	Patients	Clm Lines	Payment
2015	47	126	$10,274
2016	42	141	$12,325
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	24	33	$2,117
2020	114	404	$17,769
2021	N/R	N/R	N/R
2022	152	278	$24,431
2023	330	791	$59,938
2024	55	164	$19,091

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	58	283	$20,976
2016	46	256	$17,883
2017	13	21	$1,865
2018	N/R	N/R	N/R
2019	11	19	$972
2020	84	161	$13,788
2021	19	37	$2,183
2022	60	98	$17,419
2023	221	651	$112,135
2024	115	287	$26,074

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
66984	Removal of cataract with insertion of prosthetic lens	14	23	$388
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	29	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	14	18	$68
92136	Measurement of corneal curvature and depth of eye	17	26	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	60	3,930	$2,878
Gatifloxacin	Gatifloxacin	39	990	$2,223
Fluorometholone	Fluorometholone	11	388	$973
Latanoprost	Latanoprost	39	2,665	$565
Brimonidine Tartrate	Brimonidine Tartrate	22	1,274	$391

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

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

Tedicare shows public-source Medicare data for Ajay K. Gupta, M.D. (NPI 1316049265), 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 K. Gupta, M.D. have ACO affiliation data?

Ajay K. Gupta, M.D. is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783).

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

Ajay K. Gupta, M.D. is linked to ROCKFORD EYE & LASER CENTER LTD. (billing NPI 1073015434) in the available physician profile data.

Does Ajay K. Gupta, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.