Shivam Upadhyaya, MD
Orthopaedic Surgery · Port Saint Lucie, FLNPI 1114374725
Payments from drug & device makers
Across 205 payments — averaging $622.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Carlsmed, Inc.$35K
- Surgentec$33K
- Cerapedics Inc.$27K
- Integrity Implants Inc. Dba Accelus$8K
- Xenix Medical LLC$6K
- Stryker$5K
- plus $13K from 25 others
What the payments were for
- Royalty or licence$10,3148%
- Consulting fees$92,20072%
- Travel & lodging$11,3519%
- Food & beverage$12,20710%
- Education$1,5121%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Carlsmed, Inc. | 60 | $35,197 |
| Surgentec | 2 | $32,814 |
| Cerapedics Inc. | 27 | $27,229 |
| Integrity Implants Inc. Dba Accelus | 7 | $8,410 |
| Xenix Medical LLC | 1 | $6,000 |
| Stryker | 38 | $4,939 |
| Medtronic(2 entities) | 24 | $3,736 |
| Acuity Surgical Devices, LLC | 3 | $3,089 |
| Ossdsign USA Incorporated | 4 | $2,586 |
| Globus Medical(2 entities) | 7 | $738 |
| Spineology Inc. | 2 | $422 |
| Spinal Elements, Inc. | 3 | $409 |
| Republic Spine | 2 | $233 |
| Alphatec Spine, Inc | 1 | $175 |
| KCI USA, Inc. | 3 | $164 |
| Integra Lifesciences Corporation | 2 | $162 |
| MML US, Inc. | 1 | $153 |
| Innovasis Inc | 1 | $151 |
| Icotec Medical Inc. | 1 | $134 |
| Acera Surgical, Inc. | 1 | $134 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Bioventus LLC | 1 | $115 |
| Orthofix Medical, Inc. | 4 | $108 |
| Zimmer Biomet | 1 | $73 |
| Woven Orthopedic Technologies, LLC | 1 | $72 |
| EBI, LLC | 1 | $56 |
| Highridge Medical LLC | 1 | $56 |
| VB Spine LLC | 2 | $34 |
| Smith+Nephew | 1 | $31 |
| Si-bone, Inc. | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- aprevo$33,926
- Hydrofiber$32,814
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$26,639
- Solace$6,000
- FlareHawk$6,000
- OssDsign Catalyst$2,500
- LineSider$2,400
- MAZOR X SYSTEM$1,890
- EVEREST SPINAL SYSTEM$1,266
- TRITANIUM$991
- SERRATO$767
- Mazor X Stealth Edition$547
- CASCADIA INTERBODY SYSTEM$510
- XLIF$473
- CAPRI CORPECTOMY CAGE SYSTEM$463
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$422
- OZARK CERVICAL PLATE SYSTEM$412
- Medical Device$409
- AQUAMANTYS$276
- STEALTHSTATION S8 PLATFORM$247
How this compares
$127,584 in reported general payments places this provider in the 85th percentile of 1,263 orthopaedic surgery providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cyclobenzaprine Hcl | 742 | $3,591 |
| Methylprednisolone | 504 | $3,203 |
| Meloxicam | 724 | $1,930 |
| Gabapentin | 191 | $1,695 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 102 | $1,190 |
| Cephalexin | 78 | $538 |
| Ondansetron OdtOndansetron | 97 | $367 |
| Tramadol Hcl | 82 | $282 |
| Tizanidine Hcl | 21 | $243 |
| Celecoxib | 13 | $176 |
| Cefadroxil | 14 | $175 |
| Diazepam | 83 | $131 |
| Clindamycin Hcl | 25 | $114 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $93 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Port Saint Lucie
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Martin RocheFt. Lauderdale$7.3M
- Robert SantrockFernandina Beach$7.3M
- Steven LyonsTampa$6.8M
- Derek CuffVenice$6.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.