Sethi, Gurvinder

Sethi, Gurvinder was paid $169K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoSETHI, GURVINDER
MIDDLETOWN, NY 10941

33aNPI1891884946assigned 10/12/2006

33bProvider typeHematology & Oncology Physician

28Total paid$169K

24GClaims4,491

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in New York

Rank by total paid#53 of 441

Median peer was paid$9K

This provider vs. median18×

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	187	$7K
2019	699	$16K
2020	915	$31K
2021	1,192	$49K
2022	1,156	$55K
2023	259	$9K
2024incomplete	83	$2K

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	50%	1,032	941	$84K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	1,028	981	$57K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.3%	118	108	$16K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	4.1%	1,107	890	$7K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	1.5%	33	26	$3K
80053	Comprehensive metabolic panel	<1%	97	72	$822.62
96375	Therapeutic injection; each additional sequential IV push	<1%	33	25	$674.48
36415	Collection of venous blood by venipuncture	<1%	988	793	$99.52
3074F		0%	14	14	$0.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	29	28	$0.00
3078F		0%	12	12	$0.00

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.