Active NPI 1992767818 Individual Practitioner Male Practitioner

Dr. Balaji Gupta , MD

Ophthalmology • Lombard, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Balaji Gupta, MD is a certified Ophthalmology practicing in Lombard, IL. With approximately 38 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1988, Dr. Gupta delivers high-quality medical care to the local community at 2500 S HIGHLAND AVE.

Dr. Gupta is affiliated with Dupage Ophthalmology and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 S Highland Ave
Suite 110

Lombard, IL 601485363

Telephone 6304952220

Associated Practice Facility / Clinic

🏢 Center For Dermatology And Skin Cancer Ltd Facility NPI 1255358289

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lombard, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +3.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Lombard, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (38 Years) 38 Yrs

Lombard Specialty Average (34.5 Years) 34.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	899	852	$210.00	$127.83
92012 Established patient problem focused exam of visual system	420	334	$145.00	$90.54
92134 Imaging of retina	257	247	$80.00	$40.83
92133 Imaging of optic nerve	237	219	$80.00	$36.90
92250 Photography of the retina	234	234	$130.00	$37.68
92004 New patient complete exam of visual system	215	215	$250.00	$151.49
92136 Measurement of corneal curvature and depth of eye	183	125	$150.00	$41.23
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	159	105	$20.00	$12.48
66984 Removal of cataract with insertion of lens	154	100	$1375.00	$551.13
92083 Exam of visual field with extended testing	73	71	$150.00	$64.79
68761 Closure of tear duct opening using plug	63	16	$258.00	$95.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	45	$75.00	$58.35
66821 Removal of recurring cataract in lens capsule using a laser	42	35	$588.69	$335.73
92060 Exam to measure eye deviation and range of motion	34	33	$110.00	$64.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$285.00	$166.47
92285 Photography of content of eyes	20	19	$80.00	$23.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$186.00	$115.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	980	909	$210.00	$130.09
92012 Established patient problem focused exam of visual system	419	314	$145.00	$93.13
92134 Imaging of retina	291	272	$80.00	$41.20
92250 Photography of the retina	216	212	$130.00	$38.51
92136 Measurement of corneal curvature and depth of eye	191	125	$150.00	$41.12
66984 Removal of cataract with insertion of lens	164	110	$1375.00	$558.93
92004 New patient complete exam of visual system	158	158	$250.00	$154.47
92133 Imaging of optic nerve	148	143	$80.00	$37.80
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	97	68	$20.00	$13.25
92083 Exam of visual field with extended testing	96	90	$150.00	$65.12
66821 Removal of recurring cataract in lens capsule using a laser	68	59	$583.49	$349.17
68761 Closure of tear duct opening using plug	46	12	$258.00	$97.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$75.00	$59.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$285.00	$173.78
92060 Exam to measure eye deviation and range of motion	28	27	$110.00	$65.35
66982 Complex removal of cataract with insertion of prosthetic lens	21	18	$1910.00	$765.86
65855 Laser repair to improve eye fluid flow	18	12	$638.61	$261.63
92285 Photography of content of eyes	15	15	$80.00	$22.65
92002 New patient problem focused exam of visual system	11	11	$135.00	$88.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	928	853	$210.00	$132.84
92012 Established patient problem focused exam of visual system	435	344	$145.00	$93.97
92134 Imaging of retina	236	223	$80.00	$42.27
92250 Photography of the retina	201	197	$130.00	$39.10
92004 New patient complete exam of visual system	199	199	$250.00	$157.11
92136 Measurement of corneal curvature and depth of eye	187	125	$150.00	$44.38
66984 Removal of cataract with insertion of lens	150	98	$1375.00	$566.62
92133 Imaging of optic nerve	144	143	$80.00	$38.41
92083 Exam of visual field with extended testing	98	90	$150.00	$66.34
66821 Removal of recurring cataract in lens capsule using a laser	48	37	$575.00	$348.08
68761 Closure of tear duct opening using plug	37	11	$278.92	$106.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$75.00	$60.16
92060 Exam to measure eye deviation and range of motion	31	28	$110.00	$65.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$285.00	$176.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$182.72	$119.60
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	15	11	$300.00	$134.56
92285 Photography of content of eyes	12	12	$80.00	$22.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	861	804	$210.00	$133.78
92012 Established patient problem focused exam of visual system	373	285	$145.00	$95.42
92134 Imaging of retina	200	188	$80.00	$43.07
92133 Imaging of optic nerve	165	165	$80.00	$39.43
92136 Measurement of corneal curvature and depth of eye	151	100	$150.00	$47.73
92004 New patient complete exam of visual system	147	147	$250.00	$158.34
66984 Removal of cataract with insertion of lens	131	87	$1385.50	$572.03
92083 Exam of visual field with extended testing	90	88	$150.00	$67.52
92250 Photography of the retina	81	81	$130.00	$41.48
92060 Exam to measure eye deviation and range of motion	40	33	$110.00	$67.14
66821 Removal of recurring cataract in lens capsule using a laser	33	29	$575.00	$343.42
68761 Closure of tear duct opening using plug	29	13	$382.55	$150.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$75.00	$59.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$285.00	$178.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	793	757	$210.00	$132.65
92012 Established patient problem focused exam of visual system	392	320	$145.00	$93.35
92134 Imaging of retina	183	176	$80.00	$42.50
92136 Measurement of corneal curvature and depth of eye	149	106	$150.00	$51.96
92133 Imaging of optic nerve	142	142	$80.00	$38.94
66984 Removal of cataract with insertion of lens	138	92	$1375.00	$568.55
92004 New patient complete exam of visual system	119	119	$250.00	$156.49
92250 Photography of the retina	100	98	$130.00	$47.50
92083 Exam of visual field with extended testing	88	86	$150.00	$66.53
66821 Removal of recurring cataract in lens capsule using a laser	39	33	$589.74	$359.76
92060 Exam to measure eye deviation and range of motion	33	31	$110.00	$65.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$285.00	$175.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$75.00	$47.25
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$1910.00	$799.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$186.00	$114.97
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	11	11	$300.00	$151.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	975	887	$210.00	$132.79
92012 Established patient problem focused exam of visual system	461	336	$145.00	$92.52
92134 Imaging of retina	240	218	$80.00	$42.58
92004 New patient complete exam of visual system	194	194	$250.00	$157.93
92136 Measurement of corneal curvature and depth of eye	193	136	$150.00	$57.89
92133 Imaging of optic nerve	189	188	$80.00	$38.86
66984 Removal of cataract with insertion of lens	169	111	$1375.00	$646.31
92083 Exam of visual field with extended testing	137	131	$150.00	$66.10
92250 Photography of the retina	91	91	$130.00	$52.47
92145 Measurement of corneal pressure	80	74	$35.00	$16.90
66821 Removal of recurring cataract in lens capsule using a laser	57	47	$575.00	$352.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$285.00	$172.02
92060 Exam to measure eye deviation and range of motion	47	39	$110.00	$67.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$75.00	$47.84
68761 Closure of tear duct opening using plug	27	13	$458.67	$156.99
92285 Photography of content of eyes	23	23	$80.00	$21.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$186.00	$109.33
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	16	12	$300.00	$138.87
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$1910.00	$847.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	848	793	$210.00	$131.47
92012 Established patient problem focused exam of visual system	452	350	$145.00	$90.92
92004 New patient complete exam of visual system	205	205	$250.00	$156.44
92136 Measurement of corneal curvature and depth of eye	199	143	$150.00	$63.92
92134 Imaging of retina	197	181	$80.00	$42.75
66984 Removal of cataract with insertion of lens	170	112	$1375.00	$648.65
92133 Imaging of optic nerve	148	148	$80.00	$39.48
92083 Exam of visual field with extended testing	128	122	$150.00	$66.67
92250 Photography of the retina	68	68	$130.00	$59.99
66821 Removal of recurring cataract in lens capsule using a laser	38	33	$575.00	$350.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$285.00	$174.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$75.00	$46.29
68761 Closure of tear duct opening using plug	26	13	$380.31	$157.25
92060 Exam to measure eye deviation and range of motion	26	26	$110.00	$63.46
92285 Photography of content of eyes	18	18	$80.00	$20.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$186.00	$114.68
92002 New patient problem focused exam of visual system	12	12	$135.00	$82.09
76514 Ultrasound scan of cornea to determine thickness	11	11	$30.00	$15.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	769	713	$210.00	$128.36
92012 Established patient problem focused exam of visual system	489	358	$145.00	$88.00
92136 Measurement of corneal curvature and depth of eye	224	164	$150.00	$70.09
92004 New patient complete exam of visual system	213	213	$250.00	$152.98
92134 Imaging of retina	212	195	$80.00	$42.09
66984 Removal of cataract with insertion of lens	205	135	$1375.00	$661.82
92133 Imaging of optic nerve	142	142	$80.00	$38.29
92083 Exam of visual field with extended testing	128	119	$150.00	$66.45
92250 Photography of the retina	86	86	$130.00	$69.04
68761 Closure of tear duct opening using plug	69	18	$258.00	$99.96
66821 Removal of recurring cataract in lens capsule using a laser	68	56	$575.00	$347.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$285.00	$166.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$75.00	$45.89
92060 Exam to measure eye deviation and range of motion	32	27	$110.00	$65.65
92285 Photography of content of eyes	31	30	$80.00	$20.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$185.00	$112.89
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$50.00	$26.22
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$125.00	$76.95
92002 New patient problem focused exam of visual system	14	14	$135.00	$84.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$186.00	$115.01

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 36-081843

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Dupage Ophthalmology

2500 S Highland Ave, Lombard, IL 601485381

Phone: 6304952220

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Sheridan Lam , MD

Ophthalmology

NPI 1689673964

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 12, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2010

Registered at 2500 S HIGHLAND AVE, SUITE 110, LOMBARD, IL 601485363 (Tel: 6304952220)

📍

Updated Business Mailing Address May 12, 2010

Registered at 2500 S HIGHLAND AVE, SUITE 110, LOMBARD, IL 601485363 (Tel: 6304952220)

👤

Provider Name / Credentials Updated May 12, 2010

Recorded as BALAJI GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2010

Ophthalmology (License #36-081843 in IL)

🟢

Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992767818

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 05, 2006

Last Update: May 12, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 S Highland Ave, Suite 110

Lombard, IL 601485363

Phone: 6304952220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.