Upadhyay, Nandini

Upadhyay, Nandini was paid $482K by Medicaid between Jan 2018 and Apr 2023, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoUPADHYAY, NANDINI
GURNEE, IL 60031

33aNPI1235123308assigned 09/06/2005

33bProvider typePediatrics Physician

28Total paid$482K

24GClaims10,607

24DCodes billed34

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#306 of 1,805

Median peer was paid$55K

This provider vs. median8.7×

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	2,660	$120K
2019	1,814	$87K
2020	2,215	$93K
2021	1,648	$66K
2022	1,658	$84K
2023	612	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	27%	1,826	1,613	$132K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	2,441	2,193	$113K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	707	581	$53K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	10%	603	528	$48K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.2%	614	563	$44K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.2%	434	368	$30K
96127		3.9%	895	805	$19K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.6%	628	544	$13K
90686		1.2%	659	584	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	215	189	$5K
90670		<1%	212	174	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	175	171	$3K

22 more codes

87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	44	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	47	$1K
99384		<1%	12	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	85	$1K
90651		<1%	82	$956.02
90723		<1%	79	$750.33
81003		<1%	319	$693.24
96160		<1%	47	$662.20
90647		<1%	75	$618.07
83655		<1%	51	$604.86
90734		<1%	57	$474.86
90633		<1%	44	$340.98
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	12	$319.56
90680		<1%	30	$192.00
86580		<1%	47	$188.00
85018		<1%	76	$176.32
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	14	$124.04
90688		<1%	14	$107.44
90698		<1%	15	$96.00
83036	Hemoglobin; glycosylated (A1C)	<1%	15	$94.50
90715		<1%	13	$76.80
81001		<1%	20	$65.78

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.