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NPI 1578595328 · Babylon, NY · Internal Medicine Physician
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Tharun Shetty is a internal medicine physician provider located in Babylon, New York. This profile covers 63 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Tharun Shetty |
| Address | 28 S Carll Ave |
| City | Babylon |
| State | NY |
| ZIP | 11702 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $365.6K |
| Medicaid | $29.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
63 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 840 | $80 | $63.9K |
| 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… | 390 | $110 | $43.3K |
| 99233 | The 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… | 360 | $110 | $39.2K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 450 | $70 | $32.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 130 | $150 | $19.6K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 50 | $280 | $12.7K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 150 | $80 | $11.3K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 120 | $80 | $9.8K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 50 | $200 | $9.2K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 160 | $60 | $9.1K |
Showing 1–10 of 63
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
63 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 1,842 | 1,990 | 200 | $110 | $30.7K |
| 99490 | 576 | 1,210 | 150 | $50 | $21K |
| 99214 | 4,194 | 30,450 | 90 | $100 | $19K |
| 91320 | 723 | 1,190 | 70 | $130 | $18K |
| 99233 | 909 | 8,640 | 80 | $100 | $15.8K |
| 99291 | 2,293 | 4,680 | 50 | $190 | $15.2K |
| 93880 | 1,024 | 1,730 | 50 | $140 | $14.5K |
| 93925 | 669 | 710 | 40 | $180 | $13.9K |
| 99232 | 1,188 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 961 | 31,440 | 80 | $70 | $12.1K |
Showing 1–10 of 63
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,050 | $20 | $18.8K |
| 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… | 180 | $50 | $9.7K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 10 | $50 | $640 |
| 94640 | The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that… | 10 | $10 | $120 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 70 | $1 | $70 |
| G0008 | Administration of influenza virus vaccine | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 6,542 | 19,110 | 360 | $70 | $321K |
| 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… | 8,816 | 16,550 | 220 | $90 | $186.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 3,828 | 5,090 | 450 | $10 | $35.9K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 579 | 640 | 150 | $40 | $27.7K |
| 94640 | The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that… | 457 | 470 | 160 | $10 | $9.4K |
| G0008 | Administration of influenza virus vaccine | 951 | 1,090 | 60 | $10 | $2.3K |
Other providers in the same ZIP code as Tharun Shetty, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Barry Gruber | NY | Rheumatology Physician | $3.1M | $7.4K |
| Cosmin Dascalu | NY | Rheumatology Physician | $1.3M | $11.2K |
| Victoria Vuong | NY | Rheumatology Physician | $1.2M | $0 |
| Howard Hertz | NY | Internal Medicine Physician | $1.1M | $7.4K |
| Luis Fandos | NY | Interventional Pain Medicine Physician | $565.9K | $25.6K |
| Richard Nattis | NY | Specialist | $571.6K | $3.6K |
| Addie Dissick | NY | Rheumatology Physician | $472.7K | $0 |
| Daniel Kohane | NY | Interventional Pain Medicine Physician | $363.4K | $19K |
| Anthony Adamo | NY | Neurology Physician | $226.4K | $69K |
| Alexander London | NY | Otolaryngology/Facial Plastic Surgery Physician | $278.5K | $14.1K |
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