Providers
KRISHAN KUMAR GUPTA, M.D.
NPI 1598769176, individual, Jackson, MS, Psychiatry & Neurology, Psychiatry
5
Evidence tier
informational
- Medicaid dollars per patient on code 99232 ($244 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10392, $197K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KRISHAN KUMAR GUPTA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 10, 2005, last updated March 25, 2021 |
| Practice location | 1059 RIDGEWOOD PL, Jackson, MS 39211-2018, 601-957-3211 |
| Mailing address | PO BOX 13531, Jackson, MS 39236-3531 |
| Specialties | Family Medicine (207Q00000X, license 12941 MS) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 12941 MS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $401K | 38% | $55 | $44 (top 5% from $110) | 66th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $371K | 35% | $244 | $67 (top 5% from $174) | 98th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $105K | 10% | $145 | $81 (top 5% from $170) | 91st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $71K | 7% | $82 | $60 (top 5% from $133) | 72nd percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $55K | 5% | $54 | $48 (top 5% from $80) | 62nd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $29K | 3% | $120 | $112 (top 5% from $313) | 55th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $12K | 1% | $46 | $49 (top 5% from $109) | 46th percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $5K | 0% | $7.64 | $9.23 (top 5% from $22) | 39th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | 27 | $5K | $125 | $81 | 1.5x | 2.2x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 19 | 14 | $969 | $127 | $68 | 1.9x | 2.1x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
5 providers in Hinds County, MS carry an indicator in the public record, with $45.7M at stake between them. The most common is more hours than a day holds, on 5 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | JOHN WILKAITIS Jackson, MS, ranked 697 | $1.6M |
|
| 4 | SAGAR PATEL Jackson, MS, ranked 7867 | $846K |
|
| 4 | TIMOTHY ESTES Jackson, MS, ranked 8050 | $149K |
|
| 5 | KULMORIS JOINER Jackson, MS, ranked 10295 | $42.7M |
|
| 5 | PATRICK WELDON Jackson, MS, ranked 10297 | $425K |
|
Recent enforcement in MS
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 30, 2026
Madison Man Sentenced to 30 Months in Federal Prison for Role in Medicare Kickback Conspiracy
Smith, a marketer for diagnostic laboratories, solicited and received kickbacks from laboratories in exchange for referrals of specimens and orders for molecular diagnostic testing of toenails and paid kickbacks to providers to induce those referrals, resulting in over $1.4 million in claims to Medicare.
DOJSentencedJun 29, 2026
Two Corinth Pharmacists Sentenced for Conspiracy to Commit Healthcare Fraud
Two pharmacists billed Medicare and Medicaid for the same single prescription drug product numerous times, including diabetic insulin pens, asthma inhalers and psychotropic medications.
DOJSentencedMay 8, 2026
Former NFL Player Sentenced to Over 16 Years in Prison for $197M Medicare Fraud
French worked with overseas call centers to obtain patient information, paid kickbacks to sham telemedicine companies for signed doctors' orders for orthotic braces, sold the orders to marketers and supply companies, and billed Medicare and CHAMPVA through eight DME companies he owned using straw owners.
DOJPleaded guiltyNov 20, 2025
Mississippi Businessman Pleads Guilty to $19M Health Care Fraud Conspiracy
Gibbs paid kickbacks for fraudulent doctors' orders and used them to bill Medicare over $19 million for medically unnecessary orthotic braces through seven durable medical equipment supply companies he owned or controlled, sometimes through straw owners.
DOJCivil settlementAug 22, 2025
MISSISSIPPI MEDICAID RECIPIENTS AGREE TO PAY OVER $170,000 TO RESOLVE FALSE CLAIMS ACT ALLEGATIONS OF HEALTH CARE BENEFITS FRAUD
Former Medicaid recipients allegedly falsified their income on Mississippi Medicaid applications and renewals to create eligibility for health care benefits for their dependents.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.