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    OpenPayerNPI Medicare & MedicaidSalil Sethi
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    Salil Sethi — Billing Profile & Reimbursement Data

    NPI 1164665477 · Peoria, AZ · Interventional Cardiology Physician

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    Salil Sethi is a interventional cardiology physician provider located in Peoria, Arizona. This profile covers 47 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSalil Sethi
    Address13460 N 94th Drive
    CityPeoria
    StateAZ
    ZIP85381
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedApril 16, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$609.9K
    Medicaid$1.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,310$90$121.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…590$90$54.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…430$110$47.4K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…130$340$42.5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…230$160$36.1K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…60$420$24.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…180$130$23.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$130$21.1K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose250$80$19.2K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…100$180$18.1K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9322911918040$650$31.8K
    93306142540240$100$31.3K
    7845210936080$270$29.8K
    992332332,670120$90$21K
    9921424310,410120$80$20.6K
    33340275020$580$18.1K
    J2785128260350$40$18.1K
    33361516020$570$17.1K
    99490127460140$40$16.9K
    800539762080$10$16.8K

    Showing 1–10 of 47

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…60$30$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…190240660$120$309.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Salil Sethi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christus Health Central LouisianaLAGeneral Acute Care Hospital$0$30.1M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Christus Health Central LouisianaLACritical Access Hospital Clinic/Center$0$6.2M
    Christus Health Central LouisianaLACritical Access Hospital$0$4.9M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    James RussoLARadiation Oncology Physician$3.5M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Russell FilecciaLACardiovascular Disease Physician$2.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Salil Sethi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pain Center Of Arizona PCAZInterventional Pain Medicine Physician$0$21.3M
    Arizona Dental Anesthesia PLLCAZDental Anesthesiology$0$11M
    Dvma, LLCAZInternal Medicine Physician$0$9.7M
    Joy SchechtmanAZRheumatology Physician$7.8M$0
    Surgery Center Of Peoria, LLCAZAmbulatory Surgical Clinic/Center$408.4K$7M
    Phoenix Medical Group, P.C.AZPulmonary Disease Physician$0$7M
    Joshua HollandAZFamily Medicine Physician$5.1M$0
    Ravi BhallaAZRheumatology Physician$2.8M$435.8K
    Ski Ambulatory Surgical Centers, LLCAZAmbulatory Surgical Clinic/Center$1.1M$1.7M
    Jason SamuelianAZRadiation Oncology Physician$2.1M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Salil Sethi — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Salil Sethi — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona