SHIVAM UPADHYAYA, MD
Orthopaedic Surgery Physician · PORT SAINT LUCIE, FL
Individual Active NPI 1114374725
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 802 | 17,954 | $6,045,737 | $904,130 | $708,765 |
| 2023 | 606 | 3,410 | $4,112,723 | $577,730 | $451,835 |
| 2022 | 253 | 922 | $575,435 | $102,495 | $81,592 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 12,680 | $0 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,104 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,190 | $131 | $98 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 240 | $52 | $39 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 191 | $39 | $29 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 189 | $262 | $204 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 156 | $183 | $135 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 132 | $173 | $124 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 122 | $261 | $208 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 100 | $114 | $92 |
| 72040 | X-ray of upper spine, 2-3 views | 62 | $40 | $30 |
| 72050 | X-ray of upper spine, 4-5 views | 61 | $54 | $41 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | ME156160 | FL |
| Orthopaedic Surgery Physician | 207X00000X | 267141 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.