npidexNPI registry + Medicare data

PRADIP SETHI, MD

Sleep Medicine (Psychiatry & Neurology) Physician · ELGIN, IL

Individual Active NPI 1013009653

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024345697$308,902$108,539$80,841
2023383790$375,091$130,137$97,479
2022376775$387,261$136,114$102,881

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more364$129$95
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more176$91$64
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more33$224$173
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)25$671$527
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)22$116$89
95806Sleep study including heart rate, breathing, airflow, and effort20$42$28
95810Sleep study in sleep lab (6 years or older)19$641$510

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Sleep Medicine (Psychiatry & Neurology) Physician2084S0012X✓036055338IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Sleep Medicine (Psychiatry & Neurology) Physician providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.