Physician

Shalini Gupta, M.D.

According to 2025 Medicare claims, Shalini Gupta, M.D. (NPI: 1891783692) practices internal medicine in the Yuba City, CA market, with the plurality of this provider's patient population coming from Sutter, CA. This provider's primary affiliated billing organization is ADVENTIST HEALTH PHYSICIANS NETWORK (NPI: 1891450987; TIN: 680357690) and primary practice location at 95993-9159. Gupta is affiliated with the Adventist Health Accountable Care, LLC (ACO ID: A3873), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 347 traditional Medicare patients, billed 2,918 HCPCS/CPT codes, and received $206,841 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 4,907 prescription claims across 344 beneficiaries totaling $557,493 in drug costs, led by Ozempic (Semaglutide). DME data shows 389 claims. Open Payments data shows 1 records totaling $120. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $457,072 to $557,493. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $43,641 and ending at $31,926.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	418	3,933	$209,539
2016	400	3,582	$174,964
2017	381	3,407	$172,667
2018	368	3,594	$191,654
2019	362	2,718	$173,090
2020	394	2,808	$153,262
2021	390	2,616	$170,712
2022	382	2,360	$171,696
2023	343	2,413	$174,550
2024	347	2,918	$206,841

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	255	5,234	$457,072
2016	241	4,629	$409,181
2017	242	4,670	$414,208
2018	241	4,424	$405,275
2019	284	4,188	$430,094
2020	280	4,463	$506,702
2021	282	4,807	$539,523
2022	314	4,766	$590,445
2023	314	4,932	$672,872
2024	344	4,907	$557,493

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	154	770	$40,361
2016	159	753	$23,136
2017	147	720	$16,329
2018	138	637	$14,958
2019	84	548	$13,187
2020	102	614	$18,474
2021	109	518	$13,606
2022	56	463	$13,631
2023	76	513	$20,807
2024	33	389	$30,501

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	939	$95
90653	Influenza vaccine, inactivated	147	147	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	194	409	$70
G0008	Administration of influenza virus vaccine	164	172	$33
96372	Injection of drug or substance under skin or into muscle	61	162	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	61	2,665	$80,904
Jardiance	Empagliflozin	90	4,350	$78,669
Eliquis	Apixaban	73	3,260	$66,923
Januvia	Sitagliptin Phosphate	57	2,850	$48,339
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	23	930	$19,139

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$11,876
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	N/R	12	$7,385
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	73	$4,915
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	N	N/R	20	$1,286
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	20	52	$948

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$120	JAZZ PHARMACEUTICALS 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 Shalini Gupta, M.D.?

Tedicare shows public-source Medicare data for Shalini Gupta, M.D. (NPI 1891783692), 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 Shalini Gupta, M.D. have ACO affiliation data?

Shalini Gupta, M.D. is shown with ACO affiliation data for Adventist Health Accountable Care, LLC (MSSP, ACO ID A3873).

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

Shalini Gupta, M.D. is linked to ADVENTIST HEALTH PHYSICIANS NETWORK (billing NPI 1891450987) in the available physician profile data.

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

Shalini Gupta, M.D. has 1 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.