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NPI 1891884946 · Middletown, NY · Hematology & Oncology Physician
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Gurvinder Sethi is a hematology & oncology physician provider located in Middletown, New York. This profile covers 58 Medicare and 11 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 | Gurvinder Sethi |
| Address | 155 Crystal Run Rd |
| City | Middletown |
| State | NY |
| ZIP | 10941 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | October 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $168.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
58 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 11,600 | $40 | $498.8K |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase‑fihj | 5,040 | $40 | $191.5K |
| 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… | 640 | $110 | $67.4K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 370 | $120 | $43.3K |
| 99215 | The 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… | 270 | $150 | $40.7K |
| Q5111 | Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg | 310 | $110 | $34.6K |
| 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… | 350 | $70 | $24.8K |
| Q5106 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units | 3,620 | $10 | $21.7K |
| 99205 | The 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… | 80 | $190 | $14.4K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 80 | $130 | $10.3K |
Showing 1–10 of 58
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
58 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9271 | 24 | 60 | 9,900 | $40 | $505.5K |
| J9144 | 21 | 20 | 10,440 | $40 | $499.4K |
| Q5111 | 13 | 20 | 400 | $110 | $50.9K |
| J3490 | 12 | 120 | 60 | $470 | $50.8K |
| Q5106 | 14 | 30 | 3,320 | $10 | $23.1K |
| 99214 | 1,889 | 30,450 | 90 | $100 | $19K |
| 96413 | 32 | 380 | 110 | $110 | $18.1K |
| J9217 | 109 | 160 | 110 | $130 | $18.1K |
| 99233 | 4,469 | 8,640 | 80 | $100 | $15.8K |
| 99232 | 7,462 | 11,850 | 80 | $70 | $13.8K |
Showing 1–10 of 58
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,030 | $80 | $84.6K |
| 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… | 1,030 | $60 | $57.6K |
| 99215 | The 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 | $130 | $15.6K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,110 | $10 | $6.6K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 30 | $80 | $2.5K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 100 | $10 | $780 |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 30 | $20 | $660 |
| 3074F | No Summary found for this code | 10 | $0 | $0 |
| 3078F | No Summary found for this code | 10 | $0 | $0 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 990 | $0 | $0 |
Showing 1–10 of 11
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
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 162 | 200 | 630 | $150 | $338K |
| 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… | 6,591 | 19,110 | 360 | $70 | $321K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 444 | 590 | 1,160 | $20 | $277.2K |
| 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… | 3,983 | 16,550 | 220 | $90 | $186.8K |
| 99215 | The 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… | 899 | 2,050 | 90 | $140 | $121.2K |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 234 | 250 | 2,570 | $10 | $53.3K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 408 | 850 | 960 | $1 | $36.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,892 | 5,090 | 450 | $10 | $35.9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 1,055 | 1,600 | 50 | $10 | $1.2K |
| 3074F | No Summary found for this code | 2,004 | 2,230 | 180 | $1 | $1.1K |
Showing 1–10 of 11
Other providers in the same ZIP code as Gurvinder Sethi, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Access: Supports For Living Inc | NY | Community/Behavioral Health Agency | $0 | $35M |
| Access: Supports For Living Inc | NY | Case Management Agency | $0 | $19.8M |
| Mdinr, LLC | NY | Physiological Laboratory | $2.7M | $464.1K |
| Crystal Run Ambulatory Surgery Center Of Middletown, LLC | NY | Ambulatory Surgical Clinic/Center | $1.3M | $661.1K |
| Noaman Vaidya | NY | Diagnostic Radiology Physician | $667.1K | $350K |
| Victor Wu | NY | Diagnostic Radiology Physician | $527.2K | $428.1K |
| Balaji Pratap | NY | Cardiovascular Disease Physician | $834.5K | $26.2K |
| Anthony Caramico | NY | Diagnostic Radiology Physician | $468.8K | $334.3K |
| Ronen Harel | NY | Hematology & Oncology Physician | $681.5K | $89.8K |
| Jeffrey Stewart | NY | Hematology & Oncology Physician | $478.2K | $115K |
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