Dr. Prabhas Gupta, MD
1201 Alhambra Blvd Ste 400, Sacramento, CA 95816 • +1-898-555-7689
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Sacramento Percentiles
NPI #1275976037 • CBSA Regional • Internal Medicine
Dr. Prabhas Gupta, MD (NPI #1275976037) practices Internal Medicine in Sacramento, CA (95816) with sub-specialty concentration in 41 Active CMS HCPCS Codes, recording 1,085 annual CMS services across 206 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (43.56th Sacramento percentile) (-0.10σ vs CA state mean, 33.83th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Gupta (averaging 5.3 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 44% of tracked volume (477 encounters), paired with 99213 (276x).
Self-pay new patient consultations with Dr. Gupta (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.54/5 modern protocol openness score across 14 patient logs.
Patients evaluating Dr. Prabhas Gupta in ZIP 95816 note 32 years of post-doctoral tenure (null, 1994) alongside 5.3 annual CMS procedures per patient.
Compared against Sacramento, CA Internal Medicine peers
1,085 annual services across 206 beneficiaries
Standard deviations from CA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 477 | 43.56th | $176 – $241 |
| 99213 | Established Preventive & Chronic Care Visit | 276 | 46.56th | $134 – $184 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 138 | 48.56th | $64 – $88 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 106 | 45.56th | $206 – $282 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 64 | 41.56th | $244 – $335 |
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Dr. Prabhas Gupta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gupta National Provider Identifier | NPI #1275976037 (MD) | CMS NPPES Registry (95816) |
| Dr. Gupta Sacramento CMS Volume Rank | 43.56th Pct (1,085 CMS svcs; Z -0.097σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sacramento, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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