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Rohit Gupta, MD

Emergency Medicine · Santa Clara

NPI 1104836238

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gupta’s office at (408) 851-1000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,256

Medicare paid this office $1,256 for 11 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

11 Original Medicare patients in 2024. Average age 67 · Health risk score 1.67. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

The office billed $8,402, Medicare allowed $1,707 and paid $1,256; for 12 services of 4 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241112671.67$8,402$1,256
20231717701.49$10,120$1,482
20221418721.85$11,580$2,078
20211722693.85$10,997$2,127
20181112601.84$5,209$999
20173032712.15$16,671$3,068
2016189194742.41$88,293$24,106
2015260283722.26$125,016$33,643
2014430461722.42$199,343$56,831
2013451488722.40$203,336$58,312

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2021: 1 service

Original Medicare services billed in 2021
Emergency department visit with moderate level of medical decision making11$1,101$100

2017: 2 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making15$2,010$134
Emergency department visit with moderate level of medical decision making14$866$62

2016: 3 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making129$18,702$144
Emergency department visit with moderate level of medical decision making41$3,711$91
Emergency department visit with low level of medical decision making14$655$47

2015: 3 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making181$26,375$145
Emergency department visit with moderate level of medical decision making48$4,065$85
Emergency department visit with low level of medical decision making28$1,204$43

2014: 3 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making304$44,236$143
Emergency department visit with moderate level of medical decision making94$8,822$94
Emergency department visit with low level of medical decision making32$1,424$45

2013: 3 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making292$42,445$144
Emergency department visit with moderate level of medical decision making120$11,530$96
Emergency department visit with low level of medical decision making34$1,581$46

Medicaid work

$68 in 2023

Medicaid paid $68 for 18 billed services this clinician did in 2023, up to 18 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM18$68
Medicaid work by year
202318118$68
202112112$68
201916115$335
201825112$198
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM12$68

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM16$335

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM25$198

Drugs they prescribed that Part D paid

$2,787

Pharmacies billed $2,787 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 16% of their Part D prescriptions (18 of 115) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

101 generic and fewer than 11 brand-name prescriptions · $2,787 in drug cost · 37 antibiotic prescriptions to 36 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Oxycodone14$78$6

Year by year

Part D prescribing by year
20241158516% (18)None$2,787
20231138816% (18)None$1,763
2022987313% (13)None$2,761
20217251NoneNone$1,757
20206853NoneNone$2,076
20192722NoneNone$597
2018977117% (16)15%$2,387
2017997721% (21)11%$2,387
2016685737% (25)None$998
2015302960% (18)0%$164
20142719NoneNone$353
20135129NoneNone$2,358

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin13$124$10

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen13$85$7

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen20$215$11

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen20$138$7

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen17$93$5

Money from drug and device companies

$22 in 2025

A payment is not proof that care is biased.

Payments by company
Otsuka America PharmaceuticalJynarque$22
1 payment
  • Meals for Jynarque · 2025-02-20 · $22
See the published payment
Every published payment
Otsuka America PharmaceuticalMeals · 2025-02-20Jynarque$22

Professional record

NPI
1104836238
Licence
IL BG8023070
Trained
Ohio State University College of Medicine, 1999
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
IL 36109378
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2736 N Bosworth Ave # 3, Chicago, IL, 60614
NPI first listed
2006-08-09
NPI last updated
2021-12-20
NPI record certified
2021-12-20

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.