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NPI 1265463061 · Leesville, LA · Hematology & Oncology Physician
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Kanchan Upadhyay is a hematology & oncology physician provider located in Leesville, Louisiana. This profile covers 31 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kanchan Upadhyay |
| Address | 931 Verone Ter |
| City | Leesville |
| State | LA |
| ZIP | 71446 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | July 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $332.8K |
| Medicaid | $840 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 7,140 | $20 | $135.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,170 | $70 | $79.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 270 | $100 | $26.2K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 170 | $90 | $16K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 240 | $50 | $10.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,230 | $10 | $9.9K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 950 | $10 | $9.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,000 | $10 | $8K |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 350 | $20 | $7.4K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 30 | $160 | $5.6K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 19 | 70 | 3,120 | $20 | $105.6K |
| 96413 | 28 | 70 | 140 | $90 | $22.8K |
| 99214 | 1,585 | 6,670 | 110 | $80 | $16.5K |
| 99215 | 1,081 | 1,650 | 40 | $110 | $8.4K |
| 99213 | 50 | 6,060 | 70 | $50 | $8.1K |
| 99223 | 2,195 | 2,330 | 40 | $130 | $7.7K |
| 96365 | 13 | 80 | 60 | $40 | $6.4K |
| 99205 | 269 | 770 | 20 | $140 | $5.2K |
| 99204 | 1,102 | 3,190 | 30 | $110 | $4.8K |
| 80053 | 26 | 420 | 130 | $10 | $4.8K |
Showing 1–10 of 31
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 290 | $1 | $580 |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 370 | $1 | $370 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 100 | $1 | $100 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 180 | $0 | $0 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 470 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,235 | 3,230 | 1,120 | $30 | $204.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 195 | 270 | 3,140 | $10 | $111K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 248 | 380 | 1,730 | $1 | $64.6K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 93 | 120 | 640 | $1 | $19.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 495 | 690 | 850 | $1 | $15.3K |
Other providers in the same ZIP code as Kanchan Upadhyay, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Clhg-leesville | LA | General Acute Care Hospital | $0 | $16.3M |
| Great River Orthopedic And Sports Medicine Center, Inc. | LA | Orthopaedic Surgery Physician | $0 | $11.8M |
| Professional Pediatrics, LLC | LA | Rural Health Clinic/Center | $0 | $10.1M |
| Allstar Pediatrics | LA | Primary Care Clinic/Center | $0 | $8.7M |
| Carlock Enterprises LLC | LA | Rural Health Clinic/Center | $0 | $4.6M |
| Jose Mathew | LA | Cardiovascular Disease Physician | $414.8K | $0 |
| Gregory Lord | LA | General Practice Physician | $379.3K | $0 |
| Joe Rankin | LA | Diagnostic Radiology Physician | $145.3K | $0 |
| Decora Franklin | LA | Nurse Practitioner | $100.3K | $0 |
| Oluwayemisi Ojemakinde | LA | Diagnostic Radiology Physician | $87.6K | $0 |
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