Physician

Amarjeet Sethi, MD

According to 2025 Medicare claims, Amarjeet Sethi, MD (NPI: 1467415034) practices pulmonary disease in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is AMARJEET SETHI MD PLC (NPI: 1568836989; TIN: 475181783) and primary practice location at 48341-5023. Sethi is affiliated with the Senior Health Connect ACO 9 (ACO ID: A5387), participating under the MSSP model.

Sethi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 562 traditional Medicare patients, billed 2,614 HCPCS/CPT codes, and received $185,230 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 2,153 prescription claims across 337 beneficiaries totaling $1,448,459 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 2,584 claims. Open Payments data shows 5 records totaling $108. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $169,947 to $1,448,459. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $78,475 and ending at $121,564.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$160K$319K2015 Medicare payment: $232,283 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $242,559 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $319,184 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $256,327 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $251,415 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $249,822 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $277,811 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $285,965 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $195,327 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $185,230 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157963,524$232,283
20167993,398$242,559
20178744,656$319,184
20187213,711$256,327
20198613,503$251,415
20207733,378$249,822
20217893,736$277,811
20227224,116$285,965
20235252,673$195,327
20245622,614$185,230

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$724K$1.4M2015 Drug cost: $169,947 (USD; Tot_Drug_Cst)2016 Drug cost: $156,130 (USD; Tot_Drug_Cst)2017 Drug cost: $201,287 (USD; Tot_Drug_Cst)2018 Drug cost: $206,399 (USD; Tot_Drug_Cst)2019 Drug cost: $330,799 (USD; Tot_Drug_Cst)2020 Drug cost: $449,290 (USD; Tot_Drug_Cst)2021 Drug cost: $475,302 (USD; Tot_Drug_Cst)2022 Drug cost: $641,681 (USD; Tot_Drug_Cst)2023 Drug cost: $964,950 (USD; Tot_Drug_Cst)2024 Drug cost: $1,448,459 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151611,022$169,947
2016164991$156,130
20171781,157$201,287
20181831,315$206,399
20191921,443$330,799
20202201,644$449,290
20212291,664$475,302
20222651,755$641,681
20232701,843$964,950
20243372,153$1,448,459

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$76K$153K2015 Medicare payment: $99,160 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $119,483 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $96,104 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $134,032 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $111,822 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $114,063 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $144,960 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $147,149 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $129,969 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $152,965 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154881,991$99,160
20165842,444$119,483
20176762,499$96,104
20186862,796$134,032
20197843,139$111,822
20205802,519$114,063
20215142,567$144,960
20225332,490$147,149
20236052,423$129,969
20246522,584$152,965

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes166200$99
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more179278$92
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2581,218$60
94726Test to determine lung volumes using sensors106107$38
94060Test to measure expiratory airflow and volume changes before and after medication administration107108$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate561,680$733,388
Trelegy ElliptaFluticasone/Umeclidin/Vilanter58625,485$521,877
Breztri AerosphereBudesonide/Glycopyr/Formoterol713,210$64,184
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr301,080$16,297
Breo ElliptaFluticasone/Vilanterol18930$11,471

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY41331$24,573
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R22$23,485
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R17$17,541
J7677Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgramNN/R20$15,179
J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mgN21146$8,637

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$108GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Amarjeet Sethi, MD?

Tedicare shows public-source Medicare data for Amarjeet Sethi, MD (NPI 1467415034), 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 Amarjeet Sethi, MD have ACO affiliation data?

Amarjeet Sethi, MD is shown with ACO affiliation data for Senior Health Connect ACO 9 (MSSP, ACO ID A5387).

What billing organization is linked to Amarjeet Sethi, MD?

Amarjeet Sethi, MD is linked to AMARJEET SETHI MD PLC (billing NPI 1568836989) in the available physician profile data.

Does Amarjeet Sethi, MD have Open Payments data?

Amarjeet Sethi, MD has 5 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.