What is Ajay Upadhyay's specialty?

Ajay Upadhyay (NPI 1104888155) is a Medicare-billing provider whose primary specialty is General Surgery in Oakland, CA.

Where does Ajay Upadhyay practice?

Ajay Upadhyay practices in Oakland, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1104888155.

How much does Medicare pay Ajay Upadhyay?

Ajay Upadhyay (NPI 1104888155) received approximately $67K in total Medicare Part B payments, serving 238 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events