Physician

Amit Kumar Seth, M.D.

According to 2025 Medicare claims, Amit Seth, M.D. (NPI: 1316196165) practices endocrinology in the Newark, NJ market, with the plurality of this provider's patient population coming from Essex, NJ. This provider's primary affiliated billing organization is MEDICAL ASSOCIATES OF ENGLEWOOD, PC (NPI: 1952681918; TIN: 452548322) and primary practice location at 07109-4122. Seth is affiliated with the Englewood Health ACO, LLC (ACO ID: A5653), participating under the MSSP model.

Seth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 842 traditional Medicare patients, billed 4,779 HCPCS/CPT codes, and received $391,710 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 9,640 prescription claims across 1,268 beneficiaries totaling $3,549,715 in drug costs, led by Jardiance (Empagliflozin). DME data shows 524 claims. Open Payments data shows 60 records totaling $1,234. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $442,601 to $391,710. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $913,321 to $3,549,715. For DME billing, reported payments rose steadily, from $7,161 to $155,539.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	896	5,254	$442,601
2016	945	6,078	$450,869
2017	878	5,598	$544,940
2018	834	5,610	$412,018
2019	776	4,863	$349,102
2020	765	5,109	$362,722
2021	764	4,738	$350,300
2022	691	3,709	$300,831
2023	783	4,896	$373,786
2024	842	4,779	$391,710

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	481	4,865	$913,321
2016	520	5,109	$1,052,668
2017	508	5,006	$1,227,639
2018	528	4,764	$1,576,693
2019	622	5,376	$2,018,855
2020	858	6,508	$2,506,862
2021	878	7,297	$3,154,278
2022	880	5,159	$2,180,434
2023	1,019	6,664	$2,925,952
2024	1,268	9,640	$3,549,715

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	236	654	$16,521
2016	258	704	$22,914
2017	181	479	$13,857
2018	208	493	$14,615
2019	196	532	$21,277
2020	150	464	$24,374
2021	182	599	$45,845
2022	154	566	$62,817
2023	151	629	$92,990
2024	177	524	$155,171

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	281	345	$156
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	183	$155
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	600	$106
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	353	2,606	$71
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	225	349	$15

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	339	22,425	$434,353
Mounjaro	Tirzepatide	236	11,844	$429,732
Farxiga	Dapagliflozin Propanediol	201	12,740	$232,739
Ozempic	Semaglutide	138	7,279	$228,641
Trulicity	Dulaglutide	132	6,721	$217,036

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	70	275	$128,276
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	18	$7,397
E0784	External ambulatory infusion pump, insulin	Y	N/R	21	$7,234
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	22	22	$4,666
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	N/R	15	$3,778

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	60	$1,234	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Amit Kumar Seth, M.D.?

Tedicare shows public-source Medicare data for Amit Kumar Seth, M.D. (NPI 1316196165), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Amit Kumar Seth, M.D. have ACO affiliation data?

Amit Kumar Seth, M.D. is shown with ACO affiliation data for Englewood Health ACO, LLC (MSSP, ACO ID A5653).

What billing organization is linked to Amit Kumar Seth, M.D.?

Amit Kumar Seth, M.D. is linked to MEDICAL ASSOCIATES OF ENGLEWOOD, PC (billing NPI 1952681918) in the available physician profile data.

Does Amit Kumar Seth, M.D. have Open Payments data?

Amit Kumar Seth, M.D. has 60 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.