Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SETHI, RUPINDER

NPI: 1982617932 · ASHBURN, VA 20147 · Pediatrics Physician · NPI assigned 08/14/2006

$5.63M
Total Medicaid Paid
181,880
Total Claims
157,524
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,997 $748K
2019 25,854 $658K
2020 28,563 $733K
2021 32,203 $906K
2022 28,151 $924K
2023 25,080 $936K
2024 18,032 $722K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,480 24,524 $1.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,646 11,516 $1.12M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,792 4,432 $345K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,287 3,966 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,260 3,029 $255K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,613 3,196 $237K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,549 3,172 $110K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,359 3,004 $94K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,420 3,122 $86K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 258 236 $85K
90651 1,694 1,568 $79K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,836 5,198 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,398 7,598 $65K
90670 2,610 2,375 $59K
99188 3,226 2,991 $59K
99070 4,051 3,005 $54K
90698 3,063 2,681 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,566 1,406 $50K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 639 580 $48K
99215 Prolong outpt/office vis 324 297 $39K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 368 310 $38K
90716 1,631 1,487 $36K
90680 2,118 1,901 $34K
90686 2,938 2,531 $31K
90620 764 654 $27K
90707 1,591 1,445 $26K
90619 439 423 $25K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,229 2,914 $25K
99401 1,464 1,169 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 193 188 $23K
90677 360 316 $21K
99173 9,534 8,717 $21K
90734 617 549 $20K
99177 4,846 4,491 $19K
90633 1,490 1,371 $19K
90744 1,643 1,460 $18K
0001A 538 495 $18K
92551 1,955 1,720 $17K
90671 166 161 $17K
96127 3,556 3,316 $16K
87807 1,325 1,173 $16K
99000 6,358 5,654 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 10,240 9,118 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 305 272 $12K
87634 181 156 $10K
0002A 246 235 $9K
90461 5,410 4,815 $9K
87631 109 75 $8K
90672 508 470 $8K
90715 491 440 $7K
90688 520 484 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 510 437 $5K
90696 403 350 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 62 60 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,513 4,939 $4K
96160 1,957 1,626 $4K
90656 249 248 $4K
86580 486 421 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 220 173 $2K
69210 62 58 $2K
94664 209 173 $2K
99205 Prolong outpt/office vis 14 12 $2K
81002 548 479 $2K
90685 125 116 $1K
0003A 34 34 $1K
90473 481 444 $1K
99384 14 12 $786.08
99051 108 96 $761.78
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $727.21
90660 40 39 $595.45
90472 Immunization administration, each additional vaccine (list separately) 582 516 $467.58
A7006 Administration set, with small volume filtered pneumatic nebulizer 122 91 $445.90
99495 14 13 $240.00
S8101 Holding chamber or spacer for use with an inhaler or nebulizer; with mask 14 13 $226.35
90700 15 15 $167.71
99072 864 728 $44.50
96161 16 13 $28.93