Physician

Sanjiv Gupta, MD

According to 2025 Medicare claims, Sanjiv Gupta, MD (NPI: 1487761243) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Carter, KY. This provider's primary affiliated billing organization is SANJIV GUPTA M.D. P.S.C. (NPI: 1477562536; TIN: 611351718) and primary practice location at 41143-9998.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 229 traditional Medicare patients, billed 5,950 HCPCS/CPT codes, and received $233,755 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,724 prescription claims across 523 beneficiaries totaling $1,172,990 in drug costs, led by Ozempic (Semaglutide). DME data shows 539 claims. Open Payments data shows 85 records totaling $1,546. 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 $429,233 to $233,755. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $35,509 and ending at $48,244.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	485	10,842	$429,233
2016	474	10,902	$407,574
2017	470	11,204	$408,602
2018	467	10,921	$455,168
2019	455	10,836	$409,365
2020	413	6,425	$203,568
2021	469	5,783	$199,947
2022	303	5,414	$181,897
2023	255	5,512	$214,057
2024	229	5,950	$233,755

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	483	15,099	$980,405
2016	482	14,332	$902,096
2017	464	12,143	$777,357
2018	471	11,772	$832,650
2019	486	10,392	$946,275
2020	503	10,883	$1,014,305
2021	529	10,966	$980,637
2022	511	9,496	$1,006,590
2023	536	10,298	$1,258,397
2024	523	16,724	$1,172,990

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	534	1,613	$172,524
2016	451	1,496	$180,088
2017	376	1,370	$172,481
2018	282	1,271	$157,032
2019	199	1,091	$156,378
2020	238	1,114	$140,797
2021	180	836	$142,236
2022	124	579	$147,024
2023	164	875	$175,884
2024	121	539	$54,295

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	460	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	173	695	$56
Q3014	Telehealth originating site facility fee	124	279	$21
36415	Insertion of needle into vein for collection of blood sample	150	369	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	93	3,742	$115,561
Jardiance	Empagliflozin	177	5,494	$107,657
Eliquis	Apixaban	327	5,244	$102,495
Xarelto	Rivaroxaban	72	4,165	$74,041
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	33	2,010	$41,728

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	11	44	$18,440
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	65	$8,181
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	N	29	29	$4,828
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	N	29	29	$3,912
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	21	$3,585

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	85	$1,546	ABBVIE 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 Sanjiv Gupta, MD?

Tedicare shows public-source Medicare data for Sanjiv Gupta, MD (NPI 1487761243), 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 Sanjiv Gupta, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sanjiv Gupta, MD?

Sanjiv Gupta, MD is linked to SANJIV GUPTA M.D. P.S.C. (billing NPI 1477562536) in the available physician profile data.

Does Sanjiv Gupta, MD have Open Payments data?

Sanjiv Gupta, MD has 85 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.