Seth, Priyanka

Seth, Priyanka was paid $193K by Medicaid between Nov 2018 and May 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSETH, PRIYANKA
WEST SPRINGFIELD, MA 01089

33aNPI1528350352assigned 05/12/2011

33bProvider typePhysician Assistant

28Total paid$193K

24GClaims3,305

24DCodes billed4

24AFirst – last monthNov 2018 – May 2024

Compared with peers

Next to other Physician Assistant providers in Massachusetts

Rank by total paid#19 of 272

Median peer was paid$6K

This provider vs. median31×

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

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

Year	Claims	Paid
2018	66	$3K
2019	325	$15K
2020	220	$11K
2021	270	$21K
2022	354	$29K
2023	1,541	$89K
2024incomplete	529	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	1,316	892	$100K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	30%	1,343	951	$58K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	11%	385	307	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.6%	261	227	$13K

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.