Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Arveity Setty (NPI 1174755615)

Field	Value
Entity Type	Individual
Organization	Arveity Setty
Address	2701 13th Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Pediatrics Physician
NPI Enumerated	August 18, 2009

Payer Source	Total Paid
Medicare	$26K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	120	$100	$11.4K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	100	$90	$8.9K
99204	The provider sees a new 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 provider…	40	$100	$4.3K
99214	The 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…	20	$80	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Arveity Setty — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95811	3	10	90	$150	$15.6K
95810	4	10	70	$140	$11.4K
99214	1,343	1,470	90	$60	$10.4K
99204	187	570	30	$100	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverview Healthcare Association	MN	Rural Health Clinic/Center	$0	$8.7M
Gillette Children's Specialty Healthcare	MN	Multi-Specialty Clinic/Center	$0	$5.4M
Hamid Abbasi	MN	Neurological Surgery Physician	$317.3K	$0
David Schall	ND	Orthopaedic Surgery Physician	$268.1K	$0
Gary Matthys	ND	Orthopaedic Surgery Physician	$217.7K	$0
Todd Sekundiak	NE	Orthopaedic Surgery Physician	$188.5K	$0
Matthew Byrnes	IN	Surgical Critical Care Physician	$159K	$1.5K
Abbey Anderson	MN	Nurse Practitioner	$144.8K	$0
Timothy Weiland	WI	Anatomic Pathology & Clinical Pathology Physician	$126K	$1K
Rebecca Schulz	MN	Family Nurse Practitioner	$111.1K	$0

Arveity Setty — Billing Profile & Reimbursement Data

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Arveity Setty — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References