PUJA SETHI, M.D.
Sleep Medicine (Family Medicine) Physician · WOODRIDGE, IL
Individual Active NPI 1760753271
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 129 | 444 | $143,267 | $49,841 | $37,681 |
| 2023 | 152 | 265 | $155,081 | $59,170 | $41,759 |
| 2022 | 142 | 324 | $214,732 | $83,382 | $63,649 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 128 | $18 | $14 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 104 | $188 | $147 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 51 | $78 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $128 | $95 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 35 | $129 | $96 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 34 | $172 | $110 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 28 | $232 | $177 |
| 95810 | Sleep study in sleep lab (6 years or older) | 11 | $125 | $101 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | ✓ | 36129334 | IL |
| Family Medicine Physician | 207Q00000X | 036-129334 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.