Sethi, Simran
Sethi, Simran was paid $12K by Medicaid between Jan 2019 and Jan 2024, across 6 billing codes. Its largest line is 92065, — 52% of everything it billed.
33Billing provider infoSETHI, SIMRAN
HOBOKEN, NJ 07030
HOBOKEN, NJ 07030
33aNPI1912361544assigned 04/10/2016
33bProvider typeOptometrist
28Total paid$12K
24GClaims456
24DCodes billed6
24AFirst – last monthJan 2019 – Jan 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#219 of 599
Median peer was paid$2K
This provider vs. median6.4×
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
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 | |
|---|---|---|---|
| 2019 | 442 | $11K | |
| 2024incomplete | 14 | $420.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92065 | 52% | 185 | 96 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 22% | 185 | 96 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 20 | 20 | $1K |
| 92060 | 8.4% | 20 | 20 | $968.16 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.6% | 14 | 14 | $420.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 32 | 32 | $314.50 |
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.