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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Parthiv Sheth (NPI 1184685877)

Field	Value
Entity Type	Individual
Organization	Parthiv Sheth
Address	9228 George Washington Memorial Hwy
City	Gloucester
State	VA
ZIP	23061
Taxonomy	Psychiatry Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$9.6K
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
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	200	$20	$4.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	70	$40	$2.9K
Q3014	Telehealth originating site facility fee	90	$20	$1.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	60	$10	$390

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. Virginia Distribution

Parthiv Sheth — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	7,203	12,440	90	$60	$10K
99212	145	2,830	30	$40	$2.3K
Q3014	5	20	40	$20	$1.3K
96372	704	1,380	60	$10	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Middle Peninsula Northern Neck Mental Health & Retardation	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$68M
Daeryl Williamson	VA	Psychiatric/Mental Health Nurse Practitioner	$9.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Middle Peninsula Hospital Inc	VA	General Acute Care Hospital	$0	$19M
Sola Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.3M
Peter Zullo	VA	Internal Medicine Physician	$347.5K	$0
James Larue	VA	Internal Medicine Physician	$200.3K	$0
Ronald Haggerty	VA	Internal Medicine Physician	$161.6K	$0
Aashna Faizy	VA	Physician Assistant	$136.4K	$0
Joseph Morris	VA	Nephrology Physician	$114K	$0
Ines Stromberg	VA	Urology Physician	$98.8K	$0
Christopher Schultz	VA	Medical Physician Assistant	$85.7K	$0
Jonathan Sardina	VA	Internal Medicine Physician	$77.5K	$0

Parthiv Sheth — Billing Profile & Reimbursement Data

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Parthiv Sheth — 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

Nearby Providers

Frequently Asked Questions

References