Sethi, Anil
Sethi, Anil was paid $308K by Medicaid between Jan 2018 and Apr 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoSETHI, ANIL
MONTEREY, CA 93940
MONTEREY, CA 93940
33aNPI1891834040assigned 02/05/2007
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$308K
24GClaims14,930
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in California
Rank by total paid#5 of 53
Median peer was paid$50K
This provider vs. median6.2×
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 | 6,777 | $138K | |
| 2019 | 5,074 | $106K | |
| 2020 | 1,298 | $26K | |
| 2021 | 253 | $5K | |
| 2022 | 790 | $16K | |
| 2023 | 549 | $12K | |
| 2024incomplete | 189 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 2,829 | 2,824 | $96K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 1,646 | 1,642 | $56K |
| V2020 | Frames, purchases | 17% | 2,760 | 2,758 | $53K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 2,481 | 2,477 | $48K |
| 92015 | Determination of refractive state | 13% | 4,542 | 4,535 | $40K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.8% | 593 | 556 | $12K |
| 92341 | <1% | 37 | 37 | $890.08 | |
| 92285 | <1% | 14 | 14 | $761.60 | |
| 92250 | <1% | 14 | 14 | $446.46 | |
| 92083 | <1% | 14 | 14 | $261.29 |
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.