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    OpenPayerNPI Medicare & MedicaidRajiv Sethi
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    Rajiv Sethi — Billing Profile & Reimbursement Data

    NPI 1720090608 · San Francisco, CA · Orthopaedic Surgery Physician

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    Rajiv Sethi is a orthopaedic surgery physician provider located in San Francisco, California. This profile covers 10 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
    OrganizationRajiv Sethi
    Address400 Parnassus Ave
    CitySan Francisco
    StateCA
    ZIP94143
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicare$143.4K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…200$280$56.5K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,240$27.3K
    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…120$120$14.4K
    22216The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spinal column. This corrects an abnormal curvature in the…40$310$11.4K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$640$9.5K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$460$7.9K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$210$6.4K
    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…30$140$4.8K
    22848The provider attaches the lower end of a spinal fixation device to the pelvic bones, but not the tailbone, during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.10$250$3.2K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…10$180$2.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612921020$1,320$31.7K
    22614123050$230$19.4K
    225581912020$600$15K
    9921564715,36050$130$14.4K
    630478532020$550$13.7K
    2221615040$190$12.9K
    992056938,36030$170$7.2K
    228534632030$150$6.7K
    2284843020$220$4.6K
    61783156020$180$4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    King County Public Hospital District No. 2WAGeneral Acute Care Hospital$0$31.5M
    Virginia Mason Medical CenterWAGeneral Acute Care Hospital$0$19.2M
    Public Hospital District 1 Of Snohomish CountyWAGeneral Acute Care Hospital$0$11.2M
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Subhransu RayCARetina Specialist (Ophthalmology) Physician$2.3M$0
    David PortierCAHospitalist Physician$1.8M$0
    Soraya RofaghaCAOphthalmology Physician$1.6M$0
    Henry AryanCANeurological Surgery Physician$1.6M$0
    Greg MorganrothCADermatology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of California San Francisco Medical CenterCAGeneral Acute Care Hospital$0$54.1M
    University Of California San FranciscoCAInternal Medicine Physician$0$49.3M
    Neal BostCADiagnostic Radiology Physician$984.3K$0
    Hugh McswainCANeuroradiology Physician$235.3K$292.6K
    Aaron ClarkCANeurological Surgery Physician$475.5K$0
    Christopher AmesCANeurological Surgery Physician$422.6K$0
    Ashley LeeCADiagnostic Radiology Physician$378.1K$0
    Vedat DevirenCAOrthopaedic Surgery Physician$352.7K$0
    Lee TanCANeurological Surgery Physician$333.7K$0
    Joshua RabangCADiagnostic Radiology Physician$307.1K$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. California Distribution
    Rajiv Sethi — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California