npidexNPI registry + Medicare data

ANDREW UPCHURCH, MD

Sleep Medicine (Internal Medicine) Physician · DANVILLE, PA

Individual Active NPI 1124550330

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024405684$196,448$49,937$36,401
2023387518$184,141$46,848$33,782
2022344502$194,231$46,249$33,854

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more102$63$44
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's100$16$12
G0400Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels70$39$29
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)61$114$82
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more53$92$67
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more51$127$93
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's41$15$12
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more40$86$64
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation31$47$38
95810Sleep study in sleep lab (6 years or older)31$111$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more24$117$84
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more21$78$53

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Sleep Medicine (Internal Medicine) Physician207RS0012X✓MD473386PA
Student in an Organized Health Care Education/Training Program390200000X——

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.