PRITHIPAL SETHI, M.D.
Urology Physician · SACRAMENTO, CA
Individual Active NPI 1174710578
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 923 | 148,750 | $2,883,187 | $1,801,266 | $1,402,425 |
| 2023 | 904 | 103,347 | $2,318,644 | $1,504,332 | $1,158,076 |
| 2022 | 1,018 | 144,799 | $4,854,986 | $2,827,128 | $2,304,489 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 86,801 | $0 | $0 |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 34,001 | $6 | $5 |
| J0897 | Injection, denosumab, 1 mg | 16,920 | $26 | $21 |
| J1952 | Leuprolide injectable, camcevi, 1 mg | 2,058 | $57 | $46 |
| 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 services that are part of ongoing care related to a patient's | 1,410 | $17 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,395 | $94 | $67 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 1,187 | $12 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 741 | $133 | $96 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 559 | $64 | $49 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 371 | $25 | $18 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 268 | $257 | $198 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 260 | $941 | $748 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | A86412 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in California
- NPI 1356605729
- NPI 1639452949
- NPI 1699759290
- NPI 1518124015
- NPI 1972033975
- NPI 1376571588
- NPI 1063590701
- NPI 1487620878
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.