Active NPI 1265577175 Individual Practitioner Male Practitioner

Dr. Upali Sanath Walgama , MD

Internal Medicine • Henderson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Upali Walgama, MD is a certified Internal Medicine practicing in Henderson, TX. With approximately 60 years of clinical experience since completing medical education in 1966, Dr. Walgama delivers high-quality medical care to the local community at 105 N HIGH ST.

Dr. Walgama is affiliated with Henderson Family Medicine, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 N High St

Henderson, TX 756523133

Telephone 9033928259

Associated Practice Facility / Clinic

🏢 Henderson Family Medicine, Pllc Facility NPI 1831415793

Medicare Profile & Education

Medical School

Other

Graduation Year

1966

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Henderson, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

60 Yrs Matches City Avg

City Avg: 60.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Henderson, TX (9538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walgama (60 Years) 60 Yrs

Henderson Specialty Average (60.0 Years) 60.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	53	$225.00	$122.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	56	31	$75.00	$15.75
36415 Insertion of needle into vein for collection of blood sample	41	26	$21.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	20	13	$150.00	$86.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	55	$225.00	$122.84
36415 Insertion of needle into vein for collection of blood sample	60	37	$21.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	49	26	$150.00	$86.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	37	$163.00	$68.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$225.00	$123.50
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	23	$60.00	$39.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$457.00	$190.56
99239 Hospital discharge day management, more than 30 minutes	24	23	$232.00	$101.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$75.00	$51.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,063	399	$225.00	$126.00
36415 Insertion of needle into vein for collection of blood sample	491	312	$21.00	$2.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	287	99	$50.00	$13.82
81003 Automated urinalysis test	285	188	$16.00	$2.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg	279	34	$8.00	$0.15
80053 Blood test, comprehensive group of blood chemicals	279	248	$50.00	$10.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	275	247	$23.00	$7.74
84443 Blood test, thyroid stimulating hormone (TSH)	240	223	$37.00	$16.74
80061 Blood test, lipids (cholesterol and triglycerides)	240	229	$30.00	$13.22
82306 Vitamin d-3 level	233	222	$66.00	$29.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	222	49	$30.00	$1.98
83036 Hemoglobin A1C level	206	196	$25.00	$9.57
82607 Cyanocobalamin (vitamin B-12) level	181	170	$33.55	$15.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	44	$162.35	$69.76
83735 Magnesium level	129	120	$23.00	$6.65
84481 Thyroid hormone, t3 measurement, free	129	124	$38.00	$16.81
84436 Thyroxine (thyroid chemical), total	127	123	$26.00	$6.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	119	42	$60.00	$40.25
84550 Uric acid level, blood	110	105	$10.00	$4.48
82746 Folic acid level	105	99	$33.00	$14.56
99213 Established patient office or other outpatient visit, typically 15 minutes	97	82	$150.98	$86.97
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	83	42	$75.90	$71.72
83540 Iron level	81	77	$24.00	$6.39
82728 Ferritin (blood protein) level	80	78	$30.00	$13.46
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	73	64	$100.00	$44.61
J0696 Injection, ceftriaxone sodium, per 250 mg	72	16	$25.00	$0.55
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	60	60	$803.33	$427.37
84403 Testosterone (hormone) level, total	56	50	$57.00	$25.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$225.00	$110.05
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	50	50	$100.00	$65.21
G0008 Administration of influenza virus vaccine	50	50	$50.00	$16.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	35	$445.55	$194.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$171.86	$130.63
82670 Measurement of total estradiol (hormone)	39	36	$62.00	$27.94
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$50.00	$14.47
83525 Insulin measurement, total	33	33	$25.00	$11.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$300.00	$178.31
99238 Hospital discharge day management, 30 minutes or less	29	23	$186.00	$70.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	13	$234.00	$100.30
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	26	25	$41.00	$18.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	24	$75.00	$51.94
99336 Established patient assisted living visit, typically 40 minutes	23	16	$290.22	$132.41
86140 Measurement C-reactive protein for detection of infection or inflammation	23	20	$12.00	$5.18
84153 Psa (prostate specific antigen) measurement, total	20	18	$41.00	$17.47
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	12	$45.00	$39.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	19	$80.00	$22.27
J1040 Injection, methylprednisolone acetate, 80 mg	16	11	$60.00	$10.62
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity	16	16	$30.00	$12.95
20610 Aspiration and/or injection of fluid from large joint	16	12	$180.00	$62.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$308.00	$131.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$350.00	$164.92
84100 Phosphate level	12	12	$23.00	$4.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,300	463	$211.22	$104.46
36415 Insertion of needle into vein for collection of blood sample	641	369	$21.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	364	40	$8.00	$0.12
81003 Automated urinalysis test	334	214	$16.00	$2.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	243	76	$107.23	$71.32
99213 Established patient office or other outpatient visit, typically 15 minutes	212	151	$123.58	$72.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	172	78	$50.00	$13.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	119	46	$60.00	$40.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$155.59	$113.48
J0696 Injection, ceftriaxone sodium, per 250 mg	96	21	$25.00	$0.54
G0008 Administration of influenza virus vaccine	91	91	$49.67	$16.21
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	89	89	$100.00	$61.00
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	89	47	$48.20	$41.04
85610 Blood test, clotting time	64	13	$25.00	$4.25
J1885 Injection, ketorolac tromethamine, per 15 mg	57	14	$10.00	$0.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	22	$45.00	$39.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	47	$279.12	$199.00
99239 Hospital discharge day management, more than 30 minutes	51	46	$110.00	$104.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	22	$228.33	$103.76
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$50.00	$16.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	47	15	$30.00	$2.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	35	$9.50	$8.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	11	$70.00	$67.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	11	$95.00	$89.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$225.00	$105.77
99495 Transitional care management services for problem of at least moderate complexity	30	26	$300.00	$176.90
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	14	$25.00	$15.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	29	$23.00	$7.77
99226 Subsequent observation care, typically 35 minutes per day	29	12	$120.00	$102.07
80053 Blood test, comprehensive group of blood chemicals	28	28	$32.64	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	28	27	$37.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	28	28	$30.00	$12.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	27	$75.00	$52.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	14	$95.00	$44.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	22	$80.00	$22.76
82306 Vitamin d-3 level	23	23	$66.00	$29.60
83735 Magnesium level	23	23	$23.00	$6.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$252.00	$136.28
83036 Hemoglobin A1C level	21	21	$25.00	$9.25
84481 Thyroid hormone, t3 measurement, free	20	20	$38.00	$16.94
99336 Established patient assisted living visit, typically 40 minutes	20	14	$300.00	$134.85
99220 Hospital observation care, typically 70 minutes	20	15	$215.70	$180.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$300.00	$144.50
84550 Uric acid level, blood	18	18	$10.00	$4.52
99497 Advance care planning, first 30 minutes	16	16	$200.00	$84.31
83540 Iron level	14	14	$24.00	$6.01
82607 Cyanocobalamin (vitamin B-12) level	13	13	$33.00	$15.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$320.83	$161.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	12	12	$75.00	$72.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$231.25	$164.68
82746 Folic acid level	11	11	$33.00	$14.70
84439 Thyroxine (thyroid chemical), free	11	11	$22.00	$9.02
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$130.00	$126.35
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	11	11	$110.00	$104.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,555	507	$211.39	$102.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg	740	76	$8.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	628	350	$21.00	$2.89
81003 Automated urinalysis test	347	201	$16.00	$2.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	281	111	$50.00	$15.73
99213 Established patient office or other outpatient visit, typically 15 minutes	272	138	$99.03	$69.83
J0696 Injection, ceftriaxone sodium, per 250 mg	173	28	$25.00	$0.56
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	150	52	$60.00	$39.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$150.74	$109.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	32	$78.52	$68.58
85610 Blood test, clotting time	125	17	$25.00	$4.25
G0008 Administration of influenza virus vaccine	122	121	$46.43	$15.77
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	112	26	$30.00	$1.79
90756 Vaccine for influenza for injection into muscle	95	95	$50.00	$25.58
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	75	28	$44.87	$38.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	20	$92.80	$42.93
93000 Routine ekg using at least 12 leads including interpretation and report	59	55	$50.00	$16.01
99495 Transitional care management services for problem of at least moderate complexity	48	40	$295.83	$154.76
99497 Advance care planning, first 30 minutes	47	46	$189.36	$82.46
99239 Hospital discharge day management, more than 30 minutes	47	28	$110.00	$100.72
93922 Ultrasound study of arm and leg arteries	45	41	$200.00	$82.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	22	$25.00	$15.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	32	$300.00	$140.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$225.00	$102.41
99220 Hospital observation care, typically 70 minutes	40	29	$205.00	$174.78
J1885 Injection, ketorolac tromethamine, per 15 mg	39	11	$10.00	$0.58
99226 Subsequent observation care, typically 35 minutes per day	39	23	$120.00	$98.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	27	$9.50	$8.04
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	29	28	$35.00	$27.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	22	$223.67	$190.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	24	$75.00	$51.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$313.54	$158.67
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	16	16	$110.00	$101.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$75.00	$69.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,600	499	$208.85	$99.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg	798	79	$8.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	630	346	$21.00	$2.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	375	132	$50.00	$18.58
99213 Established patient office or other outpatient visit, typically 15 minutes	309	147	$94.00	$68.44
81003 Automated urinalysis test	243	149	$16.00	$2.67
J0696 Injection, ceftriaxone sodium, per 250 mg	187	31	$25.00	$0.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	138	29	$30.00	$1.96
G0008 Administration of influenza virus vaccine	116	113	$46.51	$19.51
93922 Ultrasound study of arm and leg arteries	115	100	$200.00	$80.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	114	34	$60.00	$39.02
J1885 Injection, ketorolac tromethamine, per 15 mg	108	22	$10.00	$0.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	35	$83.96	$69.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$141.80	$108.98
85610 Blood test, clotting time	100	17	$25.00	$4.75
90756 Vaccine for influenza for injection into muscle	90	89	$25.28	$22.08
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	90	32	$40.00	$38.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	50	$300.00	$131.87
93000 Routine ekg using at least 12 leads including interpretation and report	63	57	$50.00	$15.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	16	$87.48	$40.95
99220 Hospital observation care, typically 70 minutes	46	34	$205.00	$176.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	45	35	$9.50	$8.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	41	17	$25.00	$15.43
99239 Hospital discharge day management, more than 30 minutes	40	30	$113.05	$100.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$308.82	$155.06
99226 Subsequent observation care, typically 35 minutes per day	30	24	$120.00	$99.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$225.00	$101.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	14	$103.00	$35.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$256.87	$132.13
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	21	$34.57	$23.57
20610 Aspiration and/or injection of fluid from large joint	18	11	$180.00	$52.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$75.00	$50.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$75.00	$70.15
69210 Removal of impacted ear wax	14	13	$115.00	$45.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$205.00	$192.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,727	528	$210.86	$95.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	725	77	$8.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	638	357	$21.00	$2.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	369	145	$50.00	$22.27
81003 Automated urinalysis test	336	201	$16.00	$3.01
99213 Established patient office or other outpatient visit, typically 15 minutes	327	157	$89.65	$65.29
J0696 Injection, ceftriaxone sodium, per 250 mg	265	47	$25.00	$0.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	45	$76.62	$65.54
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	155	46	$60.00	$36.81
85610 Blood test, clotting time	132	20	$25.00	$5.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$144.64	$102.94
G0008 Administration of influenza virus vaccine	111	109	$45.09	$23.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	108	23	$30.00	$2.95
J1885 Injection, ketorolac tromethamine, per 15 mg	98	21	$10.00	$0.61
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	85	42	$40.00	$36.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	20	$88.92	$38.92
Q2039 Influenza virus vaccine, not otherwise specified	78	78	$50.00	$22.04
93000 Routine ekg using at least 12 leads including interpretation and report	67	61	$50.00	$14.66
99239 Hospital discharge day management, more than 30 minutes	66	40	$110.00	$97.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	59	39	$9.50	$7.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	52	$300.00	$128.69
99220 Hospital observation care, typically 70 minutes	43	33	$205.00	$168.53
99226 Subsequent observation care, typically 35 minutes per day	39	22	$120.00	$95.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	27	$148.19	$122.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$225.00	$97.21
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	16	$25.83	$15.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$307.76	$148.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	25	$75.00	$58.40
69210 Removal of impacted ear wax	21	21	$115.00	$42.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$243.22	$184.45
20610 Aspiration and/or injection of fluid from large joint	17	13	$180.00	$52.78
82270 Stool analysis for blood to screen for colon tumors	13	13	$15.00	$4.37
90682 Influenza vaccine, quadrivalent derived from recombinant dna	13	13	$50.00	$45.38
J1030 Injection, methylprednisolone acetate, 40 mg	13	13	$38.85	$5.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$75.00	$48.02
11100 Biopsy of single growth of skin and/or tissue	12	12	$200.00	$91.38
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	11	11	$110.00	$97.18

Medical Specialties & State Licenses

CMS Verified: 2024-10-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F0066

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Henderson Family Medicine, Pllc

105 N High St, Henderson, TX 756523133

Phone: 9033928259

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Tad Titlow , APN-C

Nurse Practitioner - Family

NPI 1073725669

APNC

Michael Colotta , FNP-C

Nurse Practitioner - Family

NPI 1477824340

Family Nurse Practitioner (Certified)

Alicia Juarez , APRN-CNP

Nurse Practitioner

NPI 1679258321

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Kevin Lawrence , MD

Family Medicine

NPI 1720078736

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 17, 2024

Registered at 105 N HIGH ST, HENDERSON, TX 756523133 (Tel: 9033928259)

📍

Updated Business Mailing Address October 17, 2024

Registered at 105 N HIGH ST, HENDERSON, TX 756523133 (Tel: 9033928259)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 321 WILSON ST, HENDERSON, TX 756525957 (Tel: 9036577541)

📍

Updated Business Mailing Address July 08, 2007

Registered at 321 WILSON ST, HENDERSON, TX 756525957 (Tel: 9036577541)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as UPALI WALGAMA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #F0066 in TX)

🟢

Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265577175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 20, 2007

Last Update: October 17, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

105 N High St

Henderson, TX 756523133

Phone: 9033928259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.