PRASHANT UPADHYAYA, MD
Plastic and Reconstructive Surgery Physician · ROUND ROCK, TX
Individual Active NPI 1861699506
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 59 | 195 | $235,186 | $60,109 | $47,329 |
| 2023 | 32 | 69 | $122,074 | $28,232 | $22,442 |
| 2022 | 40 | 85 | $118,186 | $33,414 | $26,497 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 15734 | Creation of muscle graft to trunk | 19 | $1,130 | $901 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $160 | $119 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $107 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | P4722 | TX |
| Surgery Physician | 208600000X | 269241 | NY | |
| Surgery Physician | 208600000X | 5159 | NE | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 269241 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 269241 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Plastic and Reconstructive Surgery Physician providers in Texas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.