Dr. Sanjiv Upadhyay, MD
2040 Ogden Ave Ste 401, Aurora, IL 60504 • +1-736-555-7333
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Aurora Percentiles
NPI #1215987961 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across IL Otolaryngology providers positions Dr. Sanjiv Upadhyay, MD in Aurora at -0.54σ (50th city percentile / 25th state percentile, 443 Medicare beneficiaries), with clinical focus spanning 30 Active CMS HCPCS Codes.
Procedural volume for Dr. Upadhyay is led by HCPCS 99213 (Focused Ear, Nose, Sinus & Throat Examination — 310 annual services, $103–$141 GPCI cash estimate), followed by CPT 31231 (Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy, 228/yr) and CPT 31575 (Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection, 173/yr).
Direct cash-pay transparency modeling sets Dr. Upadhyay's baseline new-consult rate near $218.00 in Aurora, IL (cash-pay accepted, in-person clinic visits only, 16-minute average reception wait).
Patients evaluating Dr. Sanjiv Upadhyay in ZIP 60504 note 10 years of post-doctoral tenure (null, 2016) alongside 2.1 annual CMS procedures per patient.
Compared against Aurora, IL Otolaryngology peers
913 annual services across 443 beneficiaries
Standard deviations from IL Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 310 | 50th | $103 – $141 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 228 | 55th | $207 – $283 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 173 | 50th | $151 – $207 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 119 | 54th | $73 – $100 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 82 | 48th | $65 – $89 |
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Dr. Sanjiv Upadhyay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Upadhyay National Provider Identifier | NPI #1215987961 (MD) | CMS NPPES Registry (60504) |
| Dr. Upadhyay Aurora CMS Volume Rank | 50.00th Pct (913 CMS svcs; Z -0.543σ) | CMS Medicare Part B (IL Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Aurora, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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