SEAN GUPTON, MD
2845 SIENA HEIGHTS DR STE 1100, HENDERSON, NV 89052
NPI Number
1396796504
Practice location · View on Google Maps
Total Medicaid Payments
$44,321
-86% vs specialty average
Patients Seen
445
Total Claims
460
$ Per Patient
$100
Specialty avg: $54
Specialty Rank
#186 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $44,321 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 387 | $35,832 | 80.8% | $93 |
| 99204 | New patient office visit — detailed visit for a serious problem | 58 | $7,083 | 16.0% | $122 |
| 99203 | New patient office visit — moderate problem | 15 | $1,406 | 3.2% | $94 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.