Physician

Ajay K Seth, M.D.

According to 2025 Medicare claims, Ajay Seth, M.D. (NPI: 1689662843) practices hand surgery in the Canton-Massillon, OH market, with the plurality of this provider's patient population coming from Stark, OH. This provider's primary affiliated billing organization is ORTHOUNITED, INC. (NPI: 1649236142; TIN: 341032526) and primary practice location at 44720-7018. Seth is affiliated with the IHC Quality Partners, LLC (ACO ID: A2833), participating under the MSSP model.

Seth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 398 traditional Medicare patients, billed 8,927 HCPCS/CPT codes, and received $156,310 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 811 prescription claims across 438 beneficiaries totaling $117,130 in drug costs, led by Xiaflex (Collagenase Clostridium Hist.). DME data shows 47 claims. Open Payments data shows 3 records totaling $65. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $11,085 to $117,130. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	414	3,632	$199,249
2016	501	3,003	$203,829
2017	486	2,716	$180,966
2018	557	3,603	$221,384
2019	535	4,104	$222,124
2020	436	2,555	$159,400
2021	473	3,188	$193,501
2022	441	2,318	$178,453
2023	412	2,018	$156,004
2024	398	8,927	$156,310

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	330	567	$11,085
2016	380	619	$18,783
2017	359	630	$21,588
2018	381	762	$19,958
2019	407	852	$10,640
2020	351	700	$6,197
2021	392	702	$47,135
2022	363	580	$57,096
2023	402	682	$79,539
2024	438	811	$117,130

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	69	86	$9,361
2016	42	42	$2,439
2017	79	81	$7,412
2018	97	109	$13,511
2019	77	77	$8,574
2020	54	59	$3,838
2021	42	45	$4,927
2022	28	31	$2,163
2023	37	37	$2,425
2024	45	47	$5,803

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	134	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	88	100	$60
20550	Injection into tendon or ligament	109	134	$37
J1010	Injection, methylprednisolone acetate, 1 mg	145	6,822	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xiaflex	Collagenase Clostridium Hist.	14	394	$113,447
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	279	1,471	$1,536
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	45	279	$448
Methylprednisolone	Methylprednisolone	37	222	$241
Tramadol Hcl	Tramadol Hcl	135	712	$235

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
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	N	11	12	$3,401
L3923	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	21	21	$1,726
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	13	14	$677

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$65	Stryker Corporation
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 Ajay K. Seth, M.D.?

Tedicare shows public-source Medicare data for Ajay K. Seth, M.D. (NPI 1689662843), 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 Ajay K. Seth, M.D. have ACO affiliation data?

Ajay K. Seth, M.D. is shown with ACO affiliation data for IHC Quality Partners, LLC (MSSP, ACO ID A2833).

What billing organization is linked to Ajay K. Seth, M.D.?

Ajay K. Seth, M.D. is linked to ORTHOUNITED, INC. (billing NPI 1649236142) in the available physician profile data.

Does Ajay K. Seth, M.D. have Open Payments data?

Ajay K. Seth, M.D. has 3 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.