Physician

Bhavik Rajanikant Upadhyay, DO

According to 2025 Medicare claims, Bhavik Upadhyay, DO (NPI: 1750516514) practices hospitalist in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-4036. Upadhyay is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), CVS ACO (ACO ID: A5407), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Upadhyay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 363 traditional Medicare patients, billed 1,506 HCPCS/CPT codes, and received $119,587 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 870 prescription claims across 194 beneficiaries totaling $62,564 in drug costs, led by Eliquis (Apixaban). DME data shows 50 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $24,731 to $62,564. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	86	278	$19,600
2023	320	1,197	$82,702
2024	363	1,506	$119,587

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	122	181	$24,731
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	16	43	$1,776
2021	N/R	12	$336
2022	34	88	$4,210
2023	138	444	$21,092
2024	194	870	$62,564

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	49	$3,916
2024	N/R	50	$2,689

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	125	$125
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	552	$90
99239	Hospital discharge day management, more than 30 minutes	121	127	$86
99238	Hospital discharge day management, 30 minutes or less	90	96	$61
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	496	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	54	1,072	$20,910
Aripiprazole	Aripiprazole	24	328	$1,892
Bumetanide	Bumetanide	45	1,451	$1,771
Potassium Chloride	Potassium Chloride	45	1,245	$542
Metoprolol Succinate	Metoprolol Succinate	25	711	$495

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	31	$2,327
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	19	$362

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Bhavik Rajanikant Upadhyay, DO?

Tedicare shows public-source Medicare data for Bhavik Rajanikant Upadhyay, DO (NPI 1750516514), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Bhavik Rajanikant Upadhyay, DO have ACO affiliation data?

Bhavik Rajanikant Upadhyay, DO is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), CVS ACO (MSSP, ACO ID A5407), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Bhavik Rajanikant Upadhyay, DO?

Bhavik Rajanikant Upadhyay, DO is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Bhavik Rajanikant Upadhyay, DO have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.