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    OpenPayerNPI Medicare & MedicaidShikha Sethi
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    Shikha Sethi — Billing Profile & Reimbursement Data

    NPI 1326268087 · Carrollton, TX · Physical Medicine & Rehabilitation Physician

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    Shikha Sethi is a physical medicine & rehabilitation physician provider located in Carrollton, Texas. This profile covers 28 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShikha Sethi
    Address4780 N Josey Ln
    CityCarrollton
    StateTX
    ZIP75010
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 26, 2007

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

    Payer SourceTotal Paid
    Medicare$218.1K
    Medicaid$0

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).490$100$46.2K
    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…420$90$37.3K
    99204The 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…180$110$20.6K
    99213The 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…300$60$18.7K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…290$40$11.1K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…330$30$9.5K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…100$70$7.3K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$220$6.6K
    99203The provider sees a new 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 provider…90$80$6.5K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.100$70$6.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6463530354040$370$19.1K
    644831469060$190$18.3K
    992144,68232,500110$80$17.6K
    6463319521030$390$12.8K
    6449327264050$180$12.3K
    959136713030$210$11.2K
    6232350653040$150$10K
    9588617245070$70$9.7K
    64640147050$110$9.1K
    992133,75429,79070$60$8.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baylor University Medical CenterTXGeneral Acute Care Hospital$0$14.7M
    Robyn OlneyTXAnatomic Pathology & Clinical Pathology Physician$7.7M$0
    Emanuela BerariTXFamily Nurse Practitioner$2.8M$0
    Armine TumyanTXRheumatology Physician$1.2M$0
    Sean MazloomFLMOHS-Micrographic Surgery Physician$1M$0
    Donald WurzburgTXInterventional Cardiology Physician$805.3K$0
    Jennifer CatherTXDermatology Physician$703.5K$0
    Andrew BinderTXCardiovascular Disease Physician$677.6K$0
    Jose RiveraTXCardiovascular Disease Physician$646.5K$0
    Michael IsaacTXCardiovascular Disease Physician$641.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey LertdilokTXFamily Nurse Practitioner$2.6M$0
    Choice Clinical Lab, LLCTXClinical Medical Laboratory$1.2M$76.8K
    Realtime Laboratories, IncTXClinical Medical Laboratory$777K$1.5K
    Metrocrest Surgery Center LPTXAmbulatory Surgical Clinic/Center$552.1K$0
    Amir AlaviTXPain Medicine (Anesthesiology) Physician$476.2K$0
    Brian FullerTXAdult Reconstructive Orthopaedic Surgery Physician$306.4K$0
    Satish VayuvegulaTXCardiovascular Disease Physician$273.5K$0
    Mark RayTXDermatology Physician$237.8K$0
    Nnamdi DikeTXNeurology Physician$225K$0
    Mitchell FagelmanTXOrthopaedic Surgery Physician$199.2K$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. Texas Distribution
    Shikha Sethi — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas