PROVIDER PROFILE · NPI 1104888155

Ajay UpadhyayMD

General SurgeryOakland, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

246

Unique beneficiaries

—

Total services

304

Distinct HCPCS

Medicare payment

$35K

Peer benchmark

Total Medicare services vs. 1,763 General Surgery providers in CA — above median (cohort median 269).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$310

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Pantoprazole Sodium40 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Travel and Lodging$73

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Ajay Upadhyay's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 27 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Ramiro Garcia Hospitalist · Hayward, CA	23	158
Teresa Kim General Surgery · Walnut Creek, CA	23	48
BORST, RICHARD	23	64
Steven Stanten General Surgery · Oakland, CA	20	54
William Tanner Diagnostic Radiology · Walnut Creek, CA	19	38
Kathryn Klima Diagnostic Radiology · Oakland, CA	18	44
Giovanni Begossi General Surgery · Oakland, CA	18	70
SUTTER EAST BAY HOSPITALS	17	45
Rupert Horoupian General Surgery · Oakland, CA	16	48
Gregory Broderick-Villa General Surgery · Oakland, CA	15	40
ROBINSON, JESSICA	14	25
Christine Lovato General Surgery · Tucson, AZ	14	28

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SUTTER EAST BAY HOSPITALS	81	349
Unilab Corporation Clinical Laboratory · Sacramento, CA	30	116
HAYWARD SISTERS HOSPITAL	30	83
Teresa Kim General Surgery · Walnut Creek, CA	28	72
Steven Stanten General Surgery · Oakland, CA	27	72
Gregory Broderick-Villa General Surgery · Oakland, CA	26	75
Ramiro Garcia Hospitalist · Hayward, CA	22	240
Royal Ambulance Inc. Ambulance Service Provider · San Leandro, CA	21	43
Unilab Corporation Clinical Laboratory · San Jose, CA	19	85
Protransport 1 Ambulance Service Provider · Rohnert Park, CA	17	35
Rupert Horoupian General Surgery · Oakland, CA	17	49
ROBINSON, JESSICA	16	39

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history