Medicare Enrolled
Dr. Madhav Upadhyaya, M.D.
Internal Medicine · Tinton Falls, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Madhav Upadhyaya is an internal medicine specialist in Tinton Falls, NJ, with 14 years of NPI registration. Based on federal Medicare data, Dr. Upadhyaya performed 2,544 Medicare services across 2,112 unique beneficiaries.
Between the years covered by Open Payments, Dr. Upadhyaya received a total of $52,204 from 52 pharmaceutical and/or device companies across 641 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 16% volume in NJ
$52,204 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,544
Medicare services
Top 16% in NJ for internal medicine
2,112
Unique beneficiaries
$127
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~182 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, 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. |
367 | $145 | $250 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
237 | $12 | $45 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
214 | $108 | $253 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
196 | $64 | $123 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
168 | $10 | $50 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
96 | $43 | $80 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
94 | $177 | $500 |
| Cardiac catheterization | 90 | $187 | $708 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
66 | $11 | $40 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
66 | $171 | $550 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
65 | $76 | $450 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
65 | $21 | $100 |
| Arterial puncture or catheterization, arm or leg Insertion of a needle or tube into an artery in the arm or leg. This procedure is used to access the arterial system for diagnostic or therapeutic purposes. |
59 | $37 | $325 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
56 | $14 | $66 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
56 | $2 | $32 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
55 | $145 | $369 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
48 | $618 | $3,700 |
| 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. |
47 | $91 | $180 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
46 | $86 | $252 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
43 | $95 | $166 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
39 | $163 | $440 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
38 | $435 | $2,144 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
25 | $60 | $300 |
| New patient office visit, complex (60-74 min) | 25 | $156 | $375 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
21 | $161 | $485 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
21 | $1,382 | $2,800 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 21 | $275 | $950 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 21 | $599 | $1,600 |
| Radiologist review of lower body vein image A radiologist reviews images of the major veins in the lower body to assess their structure and function. |
20 | $44 | $180 |
| Artery clot removal and dissolution with fluoroscopy This procedure removes and dissolves a blood clot from an artery or artery graft using fluoroscopic guidance. It is performed on the initial vessel treated. |
18 | $337 | $1,648 |
| Stent placement and plaque removal in one vessel A procedure to clear plaque and blood clots from a single blood vessel, followed by the insertion of a stent and/or balloon dilation to keep the vessel open. |
16 | $531 | $2,385 |
| Radiologist review of arm or leg vein image A radiologist reviews an image of a vein in one arm or leg. |
15 | $41 | $76 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 15 | $227 | $810 |
| 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. |
15 | $133 | $300 |
| Coronary atherectomy with shockwave lithotripsy A catheter-based procedure that uses shockwaves to break up calcified plaque within a coronary artery. |
14 | $123 | $400 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
14 | $59 | $221 |
| Arterial clot removal, subsequent vessels This procedure involves the removal and dissolving of a blood clot from an artery or artery graft using fluoroscopic guidance for subsequent vessels. |
13 | $133 | $694 |
| Right heart catheterization A procedure where a thin, flexible tube is inserted into the right side of the heart to measure pressure and oxygen levels. |
13 | $74 | $495 |
| Coronary artery stent placement with balloon dilation A procedure to remove plaque buildup from a single coronary artery or branch, followed by balloon dilation and insertion of a stent to keep the artery open. |
12 | $518 | $2,200 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
12 | $55 | $120 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
11 | $21 | $90 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
11 | $748 | $1,600 |
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.
16.2% high complexity
16.8% medium
67.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$52,204
Total received (2018-2024)
Avg $7,458/year across 7 years
Top 1% in NJ for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
641
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$43,956 (84.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$7,709 (14.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$539 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$11,021
2023
$12,699
2022
$12,758
2021
$4,434
2020
$1,564
2019
$4,841
2018
$4,887
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$2,795
Boston Scientific Corporation
$2,486
Penumbra, Inc.
$1,889
Inari Medical, Inc.
$1,760
Novartis Pharmaceuticals Corporation
$348
ShockWave Medical, Inc
$256
ABIOMED
$245
Edwards Lifesciences Corporation
$229
Abbott Laboratories
$175
Novo Nordisk Inc
$143
Boehringer Ingelheim Pharmaceuticals, Inc.
$137
Amgen Inc.
$118
CARDIVA MEDICAL, INC.
$75
E.R. Squibb & Sons, L.L.C.
$73
PFIZER INC.
$66
Kiniksa Pharmaceuticals International, plc
$34
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$32
Janssen Pharmaceuticals, Inc
$30
Merck Sharp & Dohme LLC
$29
SCPHARMACEUTICALS INC.
$21
Regeneron Healthcare Solutions, Inc.
$18
Ancora Heart, Inc.
$17
Kestra Medical Technology Services, Inc.
$16
Alnylam Pharmaceuticals Inc.
$15
Lexicon Pharmaceuticals, Inc.
$14
Top 3 companies account for 65.1% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$12,382
Inari Medical, Inc.
$7,290
Boston Scientific Corporation
$5,330
Penumbra, Inc.
$4,485
Abbott Laboratories
$3,817
ABIOMED
$2,375
Edwards Lifesciences Corporation
$1,809
AngioDynamics, Inc.
$1,679
Cook Incorporated
$1,464
Janssen Pharmaceuticals, Inc
$1,211
BIOTRONIK INC.
$1,203
Novartis Pharmaceuticals Corporation
$1,096
AstraZeneca Pharmaceuticals LP
$941
W. L. Gore & Associates, Inc.
$719
PFIZER INC.
$669
Shockwave Medical, Inc
$550
Amgen Inc.
$545
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$525
E.R. Squibb & Sons, L.L.C.
$436
ShockWave Medical, Inc
$401
Terumo Medical Corporation
$400
Tactile Systems Technology Inc
$255
Lantheus Medical Imaging, Inc.
$243
Bard Peripheral Vascular, Inc.
$231
LivaNova USA, Inc.
$214
Boehringer Ingelheim Pharmaceuticals, Inc.
$211
Philips Electronics North America Corporation
$176
CVRx, Inc.
$145
Novo Nordisk Inc
$143
Cook Medical LLC
$139
Chiesi USA, Inc.
$138
Merck Sharp & Dohme LLC
$138
Cardiovascular Systems Inc.
$133
Regeneron Healthcare Solutions, Inc.
$122
CARDIVA MEDICAL, INC.
$117
Cardinal Health 200, LLC
$92
Impulse Dynamics (USA) Inc.
$58
Lexicon Pharmaceuticals, Inc.
$49
Kiniksa Pharmaceuticals International, plc
$34
Kiniksa Pharmaceuticals, Ltd.
$32
Esperion Therapeutics, Inc.
$31
SCPHARMACEUTICALS INC.
$21
Daxor Corporation
$20
Astellas Pharma US Inc
$18
Ancora Heart, Inc.
$17
SANOFI-AVENTIS U.S. LLC
$17
Kestra Medical Technology Services, Inc.
$16
Vifor Pharma, Inc.
$16
Alnylam Pharmaceuticals Inc.
$15
Amarin Pharma Inc.
$14
Merck Sharp & Dohme Corporation
$13
Acutus Medical, Inc.
$9
Top 3 companies account for 47.9% of all-time payments
Associated products mentioned in payments ›
(6582) Visions 035 · ALPHAVAC · AMPLATZER AMULET · AMVUTTRA · ANGIOVAC · AVEIR · AccuCinch · Arcalyst · Assure WCD · BRILINTA · BVA-100 · Barostim Neo System · CAMZYOS · CARDIOFORM Septal Occluder · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · COOK MEDICAL IAA · COOK MEDICAL PERIPHERAL INTERVENTION · COREVALVE EVOLUT R · CROSSBOSS · CT THROMBECTOMY SYSTEM KIT · CardioMEMS HF System · Comet · Cook Medical Catheters · Cook Medical Interventional Radiology · CoreValve Evolut · DEFINITY · DRAGONFLY OPSTAR · Definity · Diamondback Peripheral · ELIQUIS · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · ENTRESTO · EVKEEZA · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · EkoSonic · FARXIGA · FFRANGIO · FLOWTRIEVER CATHETER · FUROSCIX · Flexitouch Plus · FlowTriever · GALLANT · GENERAL ATHERECTOMY · GENERAL STENTS · GENERAL VASCULAR ACCESS · GORE CARDIOFORM Septal Occluder · GORE VIABAHN VBX Balloon Expandable Endo · General - Vascular Intervention · IGT D Coronary · Impella · Indigo System · Inpefa · JARDIANCE · KENGREAL · LEQVIO · LEXISCAN · LOTUS EDGE · LUTONIX · LifeVest · MITRACLIP · MULTAQ · Mitra Clip system · MitraClip System · NEXLETOL · ONYX FRONTIER · OPTIMIZER · OPTIS · OPTOWIRE · Optitorque · PASCAL · PRALUENT ALIROCUMAB INJECTION · Penumbra System · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · RESOLUTE ONYX · Repatha · Resolute · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE C2+ CORONARY · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYMPLICITY G3 · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Supera peripheral stent system · TR Band · Tandem Heart Kit · Tandem Life Kit · TandemLife · VENOVO · VERQUVO · VYNDAQEL · Vascepa · Vascular Lithotripsy · Veltassa · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · Xience V coronary stent 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 →
Most payments (84%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for internal medicine in NJ.
Geographic Context
Internal medicine physicians within 10 mi
3,156
Per 100K population
490.4
County median income
$122,727
Nearest hospital
RIVERVIEW MEDICAL CENTER
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Upadhyaya is a clinical cardiology specialist, with above-average Medicare volume (top 16% in NJ), with low-engagement industry engagement in the top 1% of NJ peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Upadhyaya experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Upadhyaya performed 367 office visit, established patient, complex (40-54 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 $52,204 from 52 companies across 641 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 internal medicine physicians in Tinton Falls?
Dr. Upadhyaya's average Medicare payment per service is $127. 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. Data Coverage reflects 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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