Providers
SAMIR GUPTA, M.D.
NPI 1861457178, individual, Valparaiso, IN, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 982 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8611, $2.6M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 27.7 | 39.8 | 26.5 | 32.3 | 835 | 3 | 90832 90834 90847 99211 99213 H2011 H2014 T1016 | $101K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 25.5 | 44.2 | 29.4 | 36.6 | 776 | 3 | 90832 90834 99211 99213 99214 99443 H2011 H2014 T1016 | $110K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SAMIR GUPTA, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 19, 2006, last updated November 25, 2020 |
| Practice location | 601 WALL ST, Valparaiso, IN 46383-2512, 219-531-3500 |
| Mailing address | 809 S LAFLIN ST, Chicago, IL 60607-4025 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 36-110477 IL) Psychiatry & Neurology, Psychiatry (2084P0800X, license 35044 KY) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01058932A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.6M | 39% | $128 | $101 (top 5% from $318) | 64th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $737K | 18% | $118 | $16 (top 5% from $128) | 94th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $509K | 12% | $405 | $298 (top 5% from $3K) | 62nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $320K | 8% | $67 | $60 (top 5% from $133) | 58th percentile | |
| 90832 | Psychotherapy, 30 minutes | $232K | 6% | $101 | $59 (top 5% from $239) | 81st percentile | |
| H2011 | Crisis intervention service per 15 min | $219K | 5% | $170 | $181 (top 5% from $3K) | 48th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $157K | 4% | $42 | $44 (top 5% from $110) | 47th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $118K | 3% | $78 | $60 (top 5% from $332) | 62nd 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 |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 226 | 93 | $13K | $102 | $92 | 1.1x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | 11 | $492 | $68 | $60 | 1.1x | 2.2x (90th percentile 3.8x) |
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
8 providers in Porter County, IN carry an indicator in the public record, with $30.1M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TOGETHER HOMECARE OF NORTHWEST INDIANA LLC Valparaiso, IN, ranked 3025 | $0 |
|
| 3 | VALPARAISO HOME CARE SERVICES, LLC Valparaiso, IN, ranked 6367 | $0 |
|
| 4 | CATHLEEN AMADOR Valparaiso, IN, ranked 8082 | $5.7M |
|
| 4 | ANAND POPLI Valparaiso, IN, ranked 8267 | $17.3M |
|
| 4 | ANDI ARNAUTOVIC Portage, IN, ranked 8556 | $3.0M |
|
| 5 | SAJIV JOHN Valparaiso, IN, ranked 9956 | $2.2M |
|
| 5 | MARCIA BRIGGS Valparaiso, IN, ranked 10544 | $1.7M |
|
| 5 | JAMES BROWN Valparaiso, IN, ranked 11554 | $140K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.