Physician
Upala, Sikarin
Upala, Sikarin was paid $136K by Medicaid between Oct 2019 and Dec 2022, across 15 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 68% of everything it billed.
33Billing provider infoUPALA, SIKARIN
UNION GAP, WA 98903
UNION GAP, WA 98903
33aNPI1013334556assigned 03/22/2014
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$136K
24GClaims5,318
24DCodes billed15
24AFirst – last monthOct 2019 – Dec 2022
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Washington
Rank by total paid#1 of 10
Median peer was paid$5K
This provider vs. median28×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 14 | $445.65 | |
| 2020 | 459 | $15K | |
| 2021 | 2,334 | $62K | |
| 2022 | 2,511 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 68% | 2,037 | 1,770 | $93K |
| 99205 | Prolong outpt/office vis | 14% | 281 | 261 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.0% | 1,361 | 747 | $10K |
| 95251 | 6.7% | 795 | 751 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.5% | 77 | 65 | $3K |
| 99490 | Ccm add 20min | <1% | 99 | 99 | $1K |
| 99406 | <1% | 79 | 63 | $577.96 | |
| 3008F | 0% | 57 | 54 | $0.00 | |
| 3074F | 0% | 80 | 78 | $0.00 | |
| 3079F | 0% | 54 | 53 | $0.00 | |
| 1036F | 0% | 98 | 94 | $0.00 | |
| 1159F | 0% | 109 | 103 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.