Upadhyay, Sanjiv

Upadhyay, Sanjiv was paid $356K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoUPADHYAY, SANJIV
AURORA, IL 60504

33aNPI1215987961assigned 05/12/2006

33bProvider typeOtolaryngology Physician

28Total paid$356K

24GClaims7,426

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#14 of 221

Median peer was paid$21K

This provider vs. median17×

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
2018	507	$24K
2019	1,080	$46K
2020	1,107	$49K
2021	1,045	$49K
2022	1,141	$56K
2023	1,245	$58K
2024incomplete	1,301	$74K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	3,357	2,980	$150K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	34%	2,725	2,494	$122K
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	14%	729	668	$50K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.8%	392	369	$28K
31575		1.6%	47	46	$6K
69210		<1%	48	47	$714.31
95117		<1%	63	40	$493.85
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	65	42	$453.60

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.