Dr. Gaurav Gupta , M.D.
Moderate MarkupBalanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Gupta provides standard-duration consultations averaging approximately 26 minutes per visit, aligned with typical medical practice guidelines.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Gupta bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
HCPCS J0178 | 2,206 | $2212.15 | $1500.00 | $859.79 | 1.47x |
CPT 92134 | 2,118 | $105.30 | $95.00 | $41.01 | 1.11x |
CPT 67028 | 1,227 | $305.84 | $488.86 | $119.48 | 0.63x |
CPT 92014 | 991 | $329.26 | $168.00 | $129.64 | 1.96x |
CPT 92235 | 113 | $361.45 | $270.80 | $141.15 | 1.33x |
HCPCS J9035 | 87 | $180.55 | $142.25 | $71.12 | 1.27x |
CPT 92004 | 83 | $390.39 | $199.00 | $154.09 | 1.96x |
CPT 92250 | 68 | $97.25 | $100.00 | $38.18 | 0.97x |
Other Ophthalmology Doctors in Rhode Island
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 26 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 2.57x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Gupta participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.