Physician

Ajay Gupta, M.D.

According to 2025 Medicare claims, Ajay Gupta, M.D. (NPI: 1710321914) practices pediatric medicine in the Buffalo-Cheektowaga, NY market, with the plurality of this provider's patient population coming from Erie, NY. This provider's primary affiliated billing organization is ROSWELL PARK CANCER INSTITUTE (NPI: 1720036593; TIN: 161552370) and primary practice location at 14263-0001.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 26 traditional Medicare patients, billed 60 HCPCS/CPT codes, and received $5,021 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 159 prescription claims across 32 beneficiaries totaling $487,383 in drug costs, led by Pazopanib Hcl (Pazopanib Hcl). Open Payments data shows 3 records totaling $244. 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, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$2.6K$5.1K2023 Medicare payment: $5,137 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $5,021 (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
20232048$5,137
20242660$5,021

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$258K$516K2023 Drug cost: $515,687 (USD; Tot_Drug_Cst)2024 Drug cost: $487,383 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
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
202339162$515,687
202432159$487,383

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1323$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1222$71

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Pazopanib HclPazopanib Hcl16480$133,713
Imatinib MesylateImatinib Mesylate551,710$58,021
GabapentinGabapentin14660$215
Pantoprazole SodiumPantoprazole Sodium11435$108

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.3$244SpringWorks Therapeutics, 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 Ajay Gupta, M.D.?

Tedicare shows public-source Medicare data for Ajay Gupta, M.D. (NPI 1710321914), 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 Gupta, M.D. have ACO affiliation data?

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

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

Ajay Gupta, M.D. is linked to ROSWELL PARK CANCER INSTITUTE (billing NPI 1720036593) in the available physician profile data.

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

Ajay Gupta, M.D. has 3 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.