Physician

Gaurav Gupta, M.D.

According to 2025 Medicare claims, Gaurav Gupta, M.D. (NPI: 1366559114) practices ophthalmology in the Providence-Warwick, RI-MA market, with the plurality of this provider's patient population coming from Providence, RI. This provider's primary affiliated billing organization is REFOCUS EYE HEALTH OF RI, LLC (NPI: 1043938772; TIN: 874175575) and primary practice location at 02906-5131. Gupta is affiliated with the Lifespan Health Alliance, LLC (ACO ID: A3336), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 833 traditional Medicare patients, billed 10,330 HCPCS/CPT codes, and received $1,776,492 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 445 prescription claims across 154 beneficiaries totaling $43,469 in drug costs, led by Bromfenac Sodium (Bromfenac Sodium). Open Payments data shows 16 records totaling $375. 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 from a lower plateau to a higher plateau, from $11,424 to $43,469. 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	867	7,610	$1,506,327
2016	908	7,560	$1,522,449
2017	844	7,982	$1,781,357
2018	844	8,913	$2,375,248
2019	889	9,068	$2,354,486
2020	763	8,524	$2,341,573
2021	813	7,987	$2,284,357
2022	846	7,272	$1,969,570
2023	826	10,024	$1,981,417
2024	833	10,330	$1,776,492

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	80	211	$11,424
2016	67	177	$9,961
2017	88	223	$20,202
2018	137	386	$28,640
2019	161	452	$40,105
2020	121	386	$30,456
2021	117	338	$24,325
2022	138	400	$37,823
2023	132	347	$47,174
2024	154	445	$43,469

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
J0178	Injection, aflibercept, 1 mg	186	1,892	$648
92004	New patient complete exam of visual system	70	70	$101
92014	Established patient complete exam of visual system	625	939	$91
67028	Injection of drug into eye	227	1,169	$84
92134	Imaging of retina	793	2,011	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Bromfenac Sodium	Bromfenac Sodium	74	2,464	$17,444
Restasis	Cyclosporine	15	450	$9,348
Prolensa	Bromfenac Sodium	26	808	$9,042
Prednisolone Acetate	Prednisolone Acetate	96	3,142	$4,075
Ketorolac Tromethamine	Ketorolac Tromethamine	29	847	$844

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$375	Regeneron Healthcare Solutions, 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 Gaurav Gupta, M.D.?

Tedicare shows public-source Medicare data for Gaurav Gupta, M.D. (NPI 1366559114), 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 Gaurav Gupta, M.D. have ACO affiliation data?

Gaurav Gupta, M.D. is shown with ACO affiliation data for Lifespan Health Alliance, LLC (MSSP, ACO ID A3336).

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

Gaurav Gupta, M.D. is linked to REFOCUS EYE HEALTH OF RI, LLC (billing NPI 1043938772) in the available physician profile data.

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

Gaurav Gupta, M.D. has 16 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.