Upadhyay, Gaurav

Upadhyay, Gaurav was paid $194K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 84% of everything it billed.

33Billing provider infoUPADHYAY, GAURAV
CHICAGO, IL 60637

33aNPI1306973748assigned 02/27/2007

33bProvider typeClinical Cardiac Electrophysiology Physician

28Total paid$194K

24GClaims19,452

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in Illinois

Rank by total paid#4 of 56

Median peer was paid$18K

This provider vs. median11×

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	2,175	$18K
2019	3,427	$33K
2020	4,029	$42K
2021	3,533	$35K
2022	2,534	$25K
2023	1,761	$20K
2024incomplete	1,993	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	84%	18,480	16,715	$164K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	9.9%	589	198	$19K
99223	Prolong inpt eval add15 m	2.5%	107	100	$5K
93297		2.0%	215	191	$4K
99255		1.3%	37	32	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$311.59
93248		0%	12	12	$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.