Medicare Enrolled
Dr. Shivam Upadhyaya, MD
Orthopedic Surgery · Port Saint Lucie, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Upadhyaya from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Upadhyaya
Dr. Shivam Upadhyaya is an orthopedic surgery specialist in Port Saint Lucie, FL, with 9 years of NPI registration. Based on federal Medicare data, Dr. Upadhyaya performed 3,089 Medicare services across 1,875 unique beneficiaries.
Between the years covered by Open Payments, Dr. Upadhyaya received a total of $65,172 from 24 pharmaceutical and/or device companies across 159 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Upadhyaya is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 9 years in practice
▲ Top 28% volume in FL
$65,172 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,089
Medicare services
Top 28% in FL for orthopedic surgery
1,875
Unique beneficiaries
$112
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~343 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
945 | $102 | $440 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
450 | $0 | $14 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
225 | $38 | $170 |
| Injection, methylprednisolone acetate, 40 mg | 220 | $6 | $25 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
186 | $208 | $1,805 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
184 | $9 | $67 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
138 | $143 | $616 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
126 | $110 | $575 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
106 | $32 | $125 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
79 | $40 | $161 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
38 | $33 | $120 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
37 | $208 | $1,673 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
35 | $52 | $180 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
35 | $48 | $200 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
31 | $24 | $105 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
31 | $3 | $50 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
28 | $665 | $19,363 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
24 | $236 | $2,188 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
24 | $192 | $3,796 |
| Fusion of spine in lower back | 23 | $1,429 | $36,993 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
19 | $359 | $9,347 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
15 | $32 | $141 |
| New patient office visit, complex (60-74 min) | 15 | $164 | $760 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
14 | $49 | $237 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
13 | $100 | $677 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
13 | $105 | $1,000 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
12 | $4,703 | $22,000 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
12 | $693 | $6,573 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
11 | $700 | $6,563 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.1% high complexity
38.4% medium
59.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$65,172
Total received (2019-2024)
Avg $10,862/year across 6 years
Top 13% in FL for orthopedic surgery
24
Companies
159
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$47,924 (73.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,531 (25.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$716 (1.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$28,187
2023
$23,956
2022
$10,157
2021
$2,511
2020
$312
2019
$48
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Cerapedics Inc.
$27,229
Integrity Implants Inc. dba Accelus
$8,410
Carlsmed, Inc.
$7,539
HT Medical, LLC
$6,000
Stryker Corporation
$4,939
Medtronic, Inc.
$3,597
Acuity Surgical Devices, LLC
$3,089
OssDsign Incorporated
$1,586
NuVasive, Inc.
$577
Spineology Inc.
$422
Republic Spine
$233
Alphatec Spine, Inc
$175
KCI USA, Inc.
$164
Integra LifeSciences Corporation
$162
MML US, Inc.
$153
Innovasis Inc
$151
Medtronic USA, Inc.
$139
icotec Medical Inc.
$134
Medical Device Business Services, Inc.
$125
Bioventus LLC
$115
Orthofix Medical, Inc.
$108
Woven Orthopedic Technologies, LLC
$72
Smith+Nephew, Inc.
$31
SI-BONE, Inc.
$22
Top 3 companies account for 66.3% of total payments
Associated products mentioned in payments ›
3M Skin and Nasal Antiseptic · AQUAMANTYS · Adaptix · BIOFIX · CAPRI CORPECTOMY CAGE SYSTEM · CASCADIA INTERBODY SYSTEM · CD HORIZON · CORE · DARK STAR · EVEREST SPINAL SYSTEM · FlareHawk · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · KYPHON EXPRESS II KYPHOPAK TRAY · LIF · LineSider · M6-C · MAZOR X SYSTEM · MONTEREY AL · Mazor X Stealth Edition · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · OSTEOCOOL RF ABLATION SYSTEM · OZARK CERVICAL PLATE SYSTEM · OssDsign Catalyst · PREVENA · ReActiv8 · SERRATO · STEALTHSTATION S8 PLATFORM · Solace · Spinal-Stim · Spinal-stim · TRIGEN INTERTAN · TRITANIUM · UNID_PASS · XIA 3 · XLIF · aprevo · icotec Medical BlackArmor Spine Oncology System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (74%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Equivalent to $2,110 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
52
Per 100K population
15.0
County median income
$69,027
Nearest hospital
ST LUCIE MEDICAL CENTER
12.2 mi
12.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Upadhyaya is a clinical cardiology specialist, with above-average Medicare volume (top 28% in FL), with consulting-driven industry engagement in the top 13% of FL peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Upadhyaya experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Upadhyaya performed 945 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Upadhyaya receive payments from pharmaceutical companies?
Yes. Dr. Upadhyaya received a total of $65,172 from 24 companies across 159 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Upadhyaya's costs compare to other orthopedic surgeons in Port Saint Lucie?
Dr. Upadhyaya's average Medicare payment per service is $112. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Upadhyaya) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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