Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sethi, Sanjum

Sethi, Sanjum was paid $37K by Medicaid between Nov 2019 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoSETHI, SANJUM
NEW YORK, NY 10032
33aNPI1174783336assigned 06/11/2008
28Total paid$37K
24GClaims1,183
24DCodes billed4
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in New York

Rank by total paid#51 of 138
Median peer was paid$16K
This provider vs. median2.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201946$596.97
202075$2K
2021459$11K
2022284$12K
2023186$6K
2024incomplete133$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70% 771 764 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 269 262 $6K
93923 15% 111 111 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 32 12 $321.11

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.