Physician
Sethi Medical LLC
Sethi Medical LLC was paid $35K by Medicaid between Mar 2023 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
33Billing provider infoSETHI MEDICAL LLC
HIGHLAND, IN 46322
HIGHLAND, IN 46322
33aNPI1790494748assigned 11/18/2022
33bProvider typePulmonary Disease Physician
28Total paid$35K
24GClaims783
24DCodes billed4
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Indiana
Rank by total paid#8 of 25
Median peer was paid$22K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2023 | 365 | $15K | |
| 2024incomplete | 418 | $19K |
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 | 83% | 658 | 439 | $29K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 65 | 13 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.0% | 20 | 12 | $1K |
| 94060 | <1% | 40 | 24 | $183.54 |
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.
From NPPES
Who's on the registration
Authorized officialSETHI, PUNEET (OWNER)