Physician

Sameer Gupta, MD

According to 2025 Medicare claims, Sameer Gupta, MD (NPI: 1669638508) practices nephrology in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-8014. Gupta is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 257 traditional Medicare patients, billed 837 HCPCS/CPT codes, and received $88,709 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 2,218 prescription claims across 383 beneficiaries totaling $238,504 in drug costs, led by Jardiance (Empagliflozin). Open Payments data shows 2 records totaling $54. 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 risen steadily, from $98 to $238,504. 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	N/R	N/R	N/R
2016	84	259	$39,419
2017	205	1,197	$121,371
2018	259	1,223	$136,288
2019	296	2,162	$134,499
2020	257	2,352	$123,943
2021	281	3,423	$154,529
2022	272	2,548	$121,714
2023	249	1,680	$104,788
2024	257	837	$88,709

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	13	$98
2016	26	69	$2,364
2017	158	730	$75,876
2018	244	1,228	$53,899
2019	265	1,451	$147,490
2020	264	1,360	$78,653
2021	266	1,462	$69,273
2022	321	1,689	$122,997
2023	359	1,966	$179,712
2024	383	2,218	$238,504

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
90960	Dialysis services, 4 or more physician visits per month (20 years or older)	32	189	$254
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$133
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	317	$70
90935	Hemodialysis procedure with physician evaluation	20	40	$50
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	94	168	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	176	8,274	$158,137
Potassium Citrate Er	Potassium Citrate	111	7,205	$13,193
Sps	Sodium Polystyrene Sulfon/Sorb	24	968	$12,461
Nifedipine Er	Nifedipine	148	11,393	$4,724
Doxazosin Mesylate	Doxazosin Mesylate	102	8,594	$2,943

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.	2	$54	Daiichi Sankyo 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 Sameer Gupta, MD?

Tedicare shows public-source Medicare data for Sameer Gupta, MD (NPI 1669638508), 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 Sameer Gupta, MD have ACO affiliation data?

Sameer Gupta, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Sameer Gupta, MD?

Sameer Gupta, MD is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Sameer Gupta, MD have Open Payments data?

Sameer Gupta, MD has 2 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.