Physician

Khalid Sethi, M.D.

According to 2025 Medicare claims, Khalid Sethi, M.D. (NPI: 1699752048) practices neurosurgery in the Binghamton, NY market, with the plurality of this provider's patient population coming from Broome, NY. This provider's primary affiliated billing organization is NEUROSCIENCES HEALTHCARE MEDICINE, PC (NPI: 1497308548; TIN: 841795310) and primary practice location at 13850-1748. Sethi is affiliated with the Keystone ACO (ACO ID: A1552), Bassett Accountable Care Partners, LLC (ACO ID: A2612), CHSPSC ACO 13, LLC (ACO ID: A3723), and America's MDE, LLC (ACO ID: D0155), participating under both the MSSP and REACH models.

Sethi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 735 traditional Medicare patients, billed 2,207 HCPCS/CPT codes, and received $391,919 in Medicare payments. The top billing code was 64493 (Injection of lower or sacral spine facet joint using imaging guidance, single level). Part D data shows 854 prescription claims across 432 beneficiaries totaling $11,573 in drug costs, led by Pregabalin (Pregabalin). DME data shows 50 claims. Open Payments data shows 35 records totaling $975. 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 started with an early spike, then settled into a lower baseline, moving from $41,938 to $11,573. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $50,304 to $142,010.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	793	2,400	$487,897
2016	855	2,562	$528,599
2017	899	2,403	$450,802
2018	814	2,271	$426,401
2019	838	2,152	$420,663
2020	726	1,898	$371,599
2021	717	1,815	$438,229
2022	779	1,965	$437,695
2023	938	2,978	$576,580
2024	735	2,207	$391,919

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	241	586	$41,938
2016	279	566	$49,824
2017	327	617	$14,056
2018	348	758	$14,201
2019	324	667	$10,036
2020	243	444	$5,679
2021	243	440	$9,874
2022	264	469	$5,603
2023	406	726	$12,141
2024	432	854	$11,573

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	31	31	$48,933
2016	31	57	$68,854
2017	14	30	$48,013
2018	N/R	N/R	N/R
2019	15	15	$49,730
2020	16	16	$57,422
2021	19	19	$68,679
2022	23	23	$86,442
2023	47	47	$136,980
2024	50	50	$154,845

* / # = 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
64493	Injection of lower or sacral spine facet joint using imaging guidance, single level	84	126	$147
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$112
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	634	$87
64494	Injection of lower or sacral spine facet joint using imaging guidance, second level	65	102	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	299	362	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pregabalin	Pregabalin	44	1,320	$1,021
Gabapentin	Gabapentin	135	4,580	$898
Doxycycline Hyclate	Doxycycline Hyclate	94	858	$515
Dexamethasone	Dexamethasone	101	580	$436
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	28	305	$352

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
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	35	35	$141,843
L0631	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	15	15	$13,003

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$975	Intrinsic Therapeutics
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 Khalid Sethi, M.D.?

Tedicare shows public-source Medicare data for Khalid Sethi, M.D. (NPI 1699752048), 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 Khalid Sethi, M.D. have ACO affiliation data?

Khalid Sethi, M.D. is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552), Bassett Accountable Care Partners, LLC (MSSP, ACO ID A2612), CHSPSC ACO 13, LLC (MSSP, ACO ID A3723), and America's MDE, LLC (REACH, ACO ID D0155).

What billing organization is linked to Khalid Sethi, M.D.?

Khalid Sethi, M.D. is linked to NEUROSCIENCES HEALTHCARE MEDICINE, PC (billing NPI 1497308548) in the available physician profile data.

Does Khalid Sethi, M.D. have Open Payments data?

Khalid Sethi, M.D. has 35 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.