Medicare Enrolled
Dr. Raj Gupta, M.D
Neurology · San Jose, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gupta from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gupta
Dr. Raj Gupta is a neurology specialist in San Jose, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gupta performed 937 Medicare services across 737 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gupta received a total of $9,984 from 63 pharmaceutical and/or device companies across 243 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gupta is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 32% volume in CA
$9,984 industry payments
Medicare Practice Summary
Medicare Utilization ↗937
Medicare services
Top 32% in CA for neurology
737
Unique beneficiaries
$130
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~49 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
476 | $102 | $186 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
114 | $71 | $123 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
112 | $157 | $246 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
57 | $130 | $224 |
| New patient office visit, complex (60-74 min) | 40 | $207 | $284 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
33 | $66 | $131 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
25 | $680 | $1,046 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
25 | $52 | $771 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
22 | $102 | $250 |
| EEG monitoring, 2-12 hours with review This procedure records brain wave activity for 2 to 12 hours. A healthcare professional reviews the data and provides a report. |
11 | $92 | $155 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
11 | $641 | $887 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
11 | $106 | $185 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$9,984
Total received (2018-2024)
Avg $1,426/year across 7 years
Top 23% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
63
Companies
243
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,326 (83.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,658 (16.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,618
2023
$867
2022
$938
2021
$1,047
2020
$409
2019
$2,607
2018
$498
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
NEUROPACE, INC.
$2,366
Inspire Medical Systems, Inc.
$169
Lundbeck LLC
$168
Eisai Inc.
$158
UCB, Inc.
$123
ABBVIE INC.
$95
CATALYST PHARMACEUTICALS, INC.
$73
ARGENX US, INC.
$60
LivaNova USA, Inc.
$54
Genentech USA, Inc.
$50
JAZZ PHARMACEUTICALS INC.
$39
Teva Pharmaceuticals USA, Inc.
$38
Neurelis, Inc.
$32
Lilly USA, LLC
$27
Avadel CNS Pharmaceuticals, LLC
$25
HARMONY BIOSCIENCES LLC
$24
HOSPIRA, INC.
$24
Alexion Pharmaceuticals, Inc.
$24
Biogen, Inc.
$21
PFIZER INC.
$18
Acorda Therapeutics, Inc
$16
Celgene Corporation
$15
Top 3 companies account for 74.7% of 2024 payments
All-time payments by company (2018-2024) ›
NEUROPACE, INC.
$2,391
LivaNova USA, Inc.
$1,803
UCB, Inc.
$534
ABBVIE INC.
$373
Amgen Inc.
$308
Alexion Pharmaceuticals, Inc.
$287
Lundbeck LLC
$282
Eisai Inc.
$256
Teva Pharmaceuticals USA, Inc.
$254
EISAI INC.
$241
Biogen, Inc.
$198
Inspire Medical Systems, Inc.
$169
Allergan, Inc.
$161
Biohaven Pharmaceuticals, Inc.
$146
Lilly USA, LLC
$144
ARGENX US, INC.
$127
Neurocrine Biosciences, Inc.
$124
MDD US Operations, LLC
$119
Sunovion Pharmaceuticals Inc.
$95
PFIZER INC.
$95
ACADIA Pharmaceuticals Inc
$94
Abbott Laboratories
$90
Resmed Corp
$89
SK Life Science, Inc.
$83
Allergan Inc.
$81
CATALYST PHARMACEUTICALS, INC.
$73
Biohaven Pharmaceutical Holding Company Ltd.
$70
JAZZ PHARMACEUTICALS INC.
$69
HARMONY BIOSCIENCES LLC
$65
AbbVie Inc.
$61
Janssen Pharmaceuticals, Inc
$58
AstraZeneca Pharmaceuticals LP
$57
Greenwich Biosciences, Inc.
$57
Sumitomo Pharma America, Inc.
$56
US WorldMeds, LLC
$53
Genentech USA, Inc.
$50
GENZYME CORPORATION
$49
Acorda Therapeutics, Inc
$48
Novartis Pharmaceuticals Corporation
$43
UPSHER-SMITH LABORATORIES LLC
$42
Amneal Pharmaceuticals LLC
$41
HOSPIRA, INC.
$41
NATUS MEDICAL INCORPORATED
$38
CSL Behring
$35
Neurelis, Inc.
$32
NeuroPace, Inc.
$31
Catalyst Pharmaceuticals, Inc.
$31
Penumbra, Inc.
$29
Mitsubishi Tanabe Pharma America, Inc.
$27
Horizon Therapeutics plc
$26
Avanir Pharmaceuticals, Inc.
$25
Avadel CNS Pharmaceuticals, LLC
$25
AQUESTIVE THERAPEUTICS, INC.
$24
Merz Pharmaceuticals, LLC
$23
BOSTON SCIENTIFIC CORPORATION
$23
Merck Sharp & Dohme Corporation
$22
Jazz Pharmaceuticals Inc.
$20
Harmony Biosciences LLC
$20
Scilex Pharmaceuticals Inc.
$17
AbbVie, Inc.
$17
Celgene Corporation
$15
Vertical Pharmaceuticals, LLC
$15
Bausch Health US, LLC
$14
Top 3 companies account for 47.4% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Aimovig · AirFit · Austedo XR · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · BRILINTA · Briviact · DIVIGEL · DUOPA · Dayvigo · Duopa · EMGALITY · EPIDIOLEX · Enspryng · Epidiolex · FYCOMPA · Fycompa · GENERAL - DBS · Hizentra · INBRIJA · INGREZZA · INSPIRE · Infinity DBS Pulse Generators · KESIMPTA · KYNMOBI · LEMTRADA · LUMRYZ · Leqembi · MIGRANAL · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · Ocrevus · Penumbra System · Ponvory · QULIPTA · RADICAVA · REXULTI · REYVOW · RNS Neurostimulator Kit · RNS System · RYTARY · Rystiggo · SOLIRIS · SYMPAZAN · Soliris · TECFIDERA · TOSYMRA · TYSABRI · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VRAYLAR · VYALEV · VYEPTI · VYVGART · VYVGART HYTRULO · WAKIX · Wakix · Xeomin · ZEPOSIA · ZTLido
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (83%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurologists within 10 mi
224
Per 100K population
11.8
County median income
$159,674
Nearest hospital
REGIONAL MEDICAL CENTER OF SAN JOSE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gupta is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gupta experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gupta performed 476 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gupta receive payments from pharmaceutical companies?
Yes. Dr. Gupta received a total of $9,984 from 63 companies across 243 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gupta's costs compare to other neurologists in San Jose?
Dr. Gupta's average Medicare payment per service is $130. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gupta) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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