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 & MedicaidBaljeet Uppal
    Ask Trek AI about this page

    Baljeet Uppal — Billing Profile & Reimbursement Data

    NPI 1689898165 · Sun City, AZ · Vascular Surgery Physician

    Customize your policy alerts

    Sign up for Baljeet 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.

    Baljeet Uppal is a vascular surgery physician provider located in Sun City, Arizona. This profile covers 28 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 / 9

    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
    OrganizationBaljeet Uppal
    Address15405 N 99th Ave Ste B
    CitySun City
    StateAZ
    ZIP85351
    TaxonomyVascular Surgery Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare volume is concentrated: Total Medicare revenue is $2.9M while there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in scale. The top three Medicare codes — 37229 ($778.3K), 37225 ($368.6K), and 36465 ($349.8K) — together account for 51.7% of the provider’s Medicare revenue, indicating substantial dependence on a small set of procedures.

    The coding mix and code descriptions point to a procedural vascular practice with a heavy emphasis on venous interventions. High-volume venous procedure codes include 36465 (347 claims, $1008 avg paid/claim) and 36475 (378 claims, $831 avg paid/claim), with 36465 described as ultrasound‑guided foam sclerotherapy and 36475 described as radiofrequency ablation of a first vein; these entries support a focused practice in varicose/truncal vein treatments.

    Diagnostic and surveillance imaging is a major operational component: 93970 (813 claims, $138 avg paid/claim) and 93971 (583 claims, $90 avg paid/claim) are both billed at very high volumes and 93970 is described as a complete bilateral duplex scan. The presence of other high-volume vascular imaging codes such as 93925 (479 claims, $180 avg paid/claim) and 93880 (251 claims, $126 avg paid/claim) suggests integrated noninvasive vascular diagnostics to support procedural care.

    Several procedure codes are national high-volume outliers for this provider. 36475 ranks #9 of 1221 providers and is labeled an "extreme outlier, far above typical national volume," while 36465 ranks #26 of 989 ("notably above typical national volume") and 37225 ranks #31 of 715 ("notably above typical national volume"). These rankings indicate the provider is a significant national-volume performer for key venous procedures.

    Office evaluation and management activity is also substantial and skews toward higher-acuity encounters. The practice reported 1.6K claims for 99214 (average paid $95) and that code is labeled an "extreme outlier, far above typical national volume" (rank #2738 of 479,517), and 99205 (245 claims, $163 avg) likewise ranks in the 100th percentile. This combination of high procedural and high-complexity E/M volume suggests a steady referral flow and ongoing management of complex vascular patients.

    There is a mixed competitive picture across endovascular codes: 37229 (142 claims, $5481 avg, $778.3K revenue) ranks #31 of 603 providers and is described as "typical, unremarkable volume for this code," whereas 37225 and several 372-series entries show notably above‑typical volumes. In practice this means the provider is a dominant performer for specific venous interventions but only a typical contributor for some other 372-series endovascular procedures.

    The absence of Medicaid billing ("none below — this provider has no Medicaid billing on file") combined with Medicare-only revenue of $2.9M implies the patient payer mix is heavily Medicare-dominated. For payer strategy or network analyses, treat this provider as essentially single-payer Medicare in the available datasets rather than a dual-payer practice.

    The provider has long tenure in the NPI registry, enumerated on 2007-04-13 (~19 years ago), indicating an established practice footprint. That longevity, paired with extreme‑percentile volumes for several diagnostic and venous procedure codes, supports the view of a stable, procedure‑focused vascular surgery practice with consistent referral and follow-up streams.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A140$5,480$778.3K
    37225N/A100$3,580$368.6K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…350$1,010$349.8K
    37227N/A50$6,670$326.6K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…380$830$314.1K
    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…1,640$100$155.9K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…810$140$112.2K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…480$180$86.2K
    37233N/A90$810$74.9K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…580$90$52.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722923040$6,280$326.5K
    3722731030$6,450$219.3K
    3722523030$4,310$150.9K
    3646515050$1,000$76.2K
    3647516050$820$56.8K
    3723311020$810$33.3K
    9921412710,410120$80$20.6K
    36471153030$140$18.5K
    3722011010$1,180$17.7K
    3470511020$900$16.2K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles AtkinsonAZSurgery Physician$5.7M$0
    Thomas CouryAZPhysical Medicine & Rehabilitation Physician$1.3M$530K
    Vimalkumar Veerappan KandasamyAZInterventional Cardiology Physician$857.1K$0
    Jeffrey BraxtonAZSurgery Physician$817.2K$0
    Akash MakkarAZClinical Cardiac Electrophysiology Physician$753.4K$0
    Tarpan PatelAZInterventional Cardiology Physician$714.5K$17.7K
    Charan YerasiAZCardiovascular Disease Physician$507.8K$0
    Daniel MullenAZSports Medicine (Orthopaedic Surgery) Physician$344.1K$0
    Marc EckhauserAZVascular Surgery Physician$314.3K$0
    Drew HunterAZDiagnostic Radiology Physician$306.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Boswell Medical CenterAZGeneral Acute Care Hospital$0$27M
    Succeeding At Recovery LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$18.8M
    Banner Imaging Services LLCAZDiagnostic Radiology Physician$0$12.9M
    S P Gill Md PCAZMedical Specialty Clinic/Center$0$9.5M
    Maxfar, LLCAZHome Health Agency$0$8.9M
    Leading Healthcare, LLCAZHospitalist Physician$0$7M
    Express Urgent Care, PCAZUrgent Care Clinic/Center$0$6.6M
    Barnet Dulaney Perkins Eye Center, PCAZAmbulatory Surgical Clinic/Center$2.8M$1.1M
    Bcc West Valley LLCAZAmbulatory Surgical Clinic/Center$3.5M$0
    Sun City Ophthalmology Asc LLCAZAmbulatory Surgical Clinic/Center$2M$1.2M

    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. Arizona Distribution
    Baljeet Uppal — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona