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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Prateek Gupta
๐Ÿ”ช
MBBSIndividual

Prateek Gupta, MBBS

NPI: 1952555666
Memphis, TN
10 years of data
Vascular Surgery
$15.1M
Total Payments
22.4K
Beneficiaries
31.5K
Services
2.88x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$15.1M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $15.1M over 10 years
22.88x markup ratio (above median)
399th percentile in Vascular Surgery by payments
4Payments surged 2855% in 2015
56 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $15.1M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

Medicare payments to this provider grew 87865% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 2855% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$200.00$52.493.81x$147.51$2.8K6437
2015$2.8K$153.2318.27x$2.6K$82.9K817688
2016$1.2K$147.298.00x$1.0K$102.9K1.2K880
2017$804.21$185.334.34x$618.88$115.0K1.0K864
2018$778.91$184.594.22x$594.32$107.8K1.0K884
2019$3.3K$1.2K2.81x$2.1K$3.0M4.3K3.1K
2020$3.4K$1.2K2.90x$2.2K$3.4M5.6K4.1K
2021$2.6K$921.952.86x$1.7K$3.5M8.0K5.0K
2022$2.7K$912.212.99x$1.8K$2.4M4.8K3.6K
2023$2.8K$943.512.98x$1.9K$2.5M4.6K3.3K

Top Procedures (20)

37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
$6.2M
696 services$9.0K/svc2.66x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedureโš  3.0x markup
$2.2M
425 services$5.2K/svc3.05x markup
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure
$2.1M
237 services$8.7K/svc2.73x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedureโš  3.4x markup
$1.1M
288 services$3.8K/svc3.42x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$807.9K
1.0K services$788.15/svc2.58x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin
$327.3K
358 services$914.28/svc2.58x markup
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedureโš  5.5x markup
$246.2K
158 services$1.6K/svc5.50x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$192.0K
1.1K services$173.55/svc2.69x markup
37221Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedureโš  3.4x markup
$136.2K
69 services$2.0K/svc3.38x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$132.7K
1.0K services$131.64/svc2.74x markup
93922Ultrasound study of arteries of both arms and legsโš  3.1x markup
$128.9K
2.5K services$51.51/svc3.10x markup
37253Ultrasound evaluation of blood vessel during diagnosis or treatment
$122.0K
925 services$131.93/svc2.58x markup
93926Ultrasound study of arteries and arterial grafts of one leg or limitedโš  3.1x markup
$120.8K
1.3K services$90.04/svc3.06x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or leg
$119.8K
1.2K services$98.88/svc2.65x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$108.0K
1.2K services$87.99/svc2.68x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$104.3K
1.8K services$59.42/svc2.82x markup
99204New patient office or other outpatient visit, typically 45 minutes
$86.5K
739 services$117.09/svc2.85x markup
Q4254Novafix dl, per square centimeter
$83.5K
227 services$367.64/svc2.43x markup
99203New patient office or other outpatient visit, typically 30 minutes
$74.6K
962 services$77.51/svc2.90x markup
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance
$65.7K
54 services$1.2K/svc2.59x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure696$6.2M$9.0K2.66x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure425$2.2M$5.2K3.05x
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure237$2.1M$8.7K2.73x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure288$1.1M$3.8K3.42x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment1.0K$807.9K$788.152.58x
36475Destruction of insufficient vein of arm or leg, accessed through the skin358$327.3K$914.282.58x
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure158$246.2K$1.6K5.50x
93925Ultrasound study of arteries and arterial grafts of both legs1.1K$192.0K$173.552.69x
37221Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure69$136.2K$2.0K3.38x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.0K$132.7K$131.642.74x
93922Ultrasound study of arteries of both arms and legs2.5K$128.9K$51.513.10x
37253Ultrasound evaluation of blood vessel during diagnosis or treatment925$122.0K$131.932.58x
93926Ultrasound study of arteries and arterial grafts of one leg or limited1.3K$120.8K$90.043.06x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg1.2K$119.8K$98.882.65x
99214Established patient office or other outpatient, visit typically 25 minutes1.2K$108.0K$87.992.68x
99213Established patient office or other outpatient visit, typically 15 minutes1.8K$104.3K$59.422.82x
99204New patient office or other outpatient visit, typically 45 minutes739$86.5K$117.092.85x
Q4254Novafix dl, per square centimeter227$83.5K$367.642.43x
99203New patient office or other outpatient visit, typically 30 minutes962$74.6K$77.512.90x
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance54$65.7K$1.2K2.59x

Markup Analysis

Charge-to-Payment Ratio

2.88x

This provider submits charges 2.88 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.88x means for every $100 Medicare pays, this provider initially charges $288. This is higher than the national average.

Location

Memphis, TN

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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