Upadhyaya, Varsha
Upadhyaya, Varsha was paid $580K by Medicaid between Jan 2018 and Mar 2022, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoUPADHYAYA, VARSHA
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1598845554assigned 10/16/2006
33bProvider typeSpecialist
28Total paid$580K
24GClaims16,127
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#16 of 273
Median peer was paid$32K
This provider vs. median18×
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 | 4,704 | $171K | |
| 2019 | 3,238 | $123K | |
| 2020 | 4,660 | $157K | |
| 2021 | 3,018 | $108K | |
| 2022 | 507 | $21K |
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 | 35% | 4,454 | 2,595 | $205K |
| 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 | 33% | 2,666 | 1,980 | $189K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 1,585 | 981 | $73K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.7% | 23 | 15 | $21K |
| 99205 | Prolong outpt/office vis | 3.5% | 302 | 275 | $20K |
| J7300 | Intrauterine copper contraceptive (paragard) | 3.2% | 23 | 12 | $19K |
| 59025 | Fetal non-stress test | 2.6% | 457 | 158 | $15K |
| 81000 | 2.0% | 4,558 | 2,331 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 733 | 509 | $9K |
| 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 | 1.4% | 116 | 105 | $8K |
| 58300 | <1% | 40 | 25 | $4K | |
| 81025 | <1% | 986 | 783 | $3K |
6 more codes
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.