Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDushant Uppal
    Ask Trek AI about this page

    Dushant Uppal — Billing Profile & Reimbursement Data

    NPI 1477757961 · Charlottesville, VA · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Dushant Uppal — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Dushant Uppal is a gastroenterology physician provider located in Charlottesville, Virginia. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDushant Uppal
    AddressLee St Fl 1
    CityCharlottesville
    StateVA
    ZIP22908
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 11, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$146.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…130$250$31.9K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…130$240$31.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$60$15.4K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…50$270$13.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$140$12.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$6.6K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…190$40$6.5K
    99214The 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…60$90$5.4K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…50$100$5.2K
    74328In this procedure, the provider performs imaging supervision and interpretation, S&I, for a separately reportable endoscopic biliary duct catheterization. The provider X–rays the biliary ducts during…180$20$3.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538539240070$260$24.7K
    992149,14212,890140$80$21K
    4327611040$270$15.9K
    4538038140060$160$12.9K
    992329614,46080$60$11K
    4327413030$300$10.5K
    992139,55412,44090$60$10K
    4323931639070$110$9.3K
    992238313,66040$130$9.2K
    992046,3646,85040$110$5.9K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dushant Uppal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner - University Physician Specialists LLCAZMulti-Specialty Clinic/Center$0$16.9M
    Banner Physician Specialists Arizona LLCAZMulti-Specialty Clinic/Center$0$14.8M
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Betty Hinderks DavisAZMOHS-Micrographic Surgery Physician$1.2M$0
    Azimuddin KhawajaAZInterventional Cardiology Physician$825.4K$0
    Tamara LundeenAZDiagnostic Radiology Physician$802.6K$0
    Pradeep AgarwalAZInterventional Cardiology Physician$753.3K$660
    Brenda BakerAZFamily Nurse Practitioner$545.6K$0
    Harmeet NarulaAZEndocrinology, Diabetes & Metabolism Physician$540.9K$0
    Kevin KlassenAZCardiovascular Disease Physician$513.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Dushant Uppal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rector & Visitors Of The University Of VirginiaVAGeneral Acute Care Hospital$0$500.4M
    Brent PortzVAInternal Medicine Physician$658.7K$0
    Timothy BenderVADiagnostic Radiology Physician$329.1K$0
    Leslie OlsakovskyVAOphthalmology Physician$299.6K$0
    Krista IsaacVAHematology & Oncology Physician$288.1K$0
    Corina RusuVADermatology Physician$279.9K$0
    Bruce UrbanVADiagnostic Radiology Physician$260.2K$13.4K
    Jean-martin GingrasVADiagnostic Radiology Physician$269.7K$0
    Diana PhamVAPhysical Medicine & Rehabilitation Physician$269.2K$0
    Christopher MudgeVADiagnostic Radiology Physician$201K$59.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Dushant Uppal — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia