Physician

Venkata Sai Sheshu Kumar Etha

According to 2025 Medicare claims, Venkata Etha (NPI: 1841501863) practices physical medicine and rehabilitation in the Bay City, MI market, with the plurality of this provider's patient population coming from Bay, MI. This provider's primary affiliated billing organization is MCLAREN BAY REGION (NPI: 1508131087; TIN: 381976271) and primary practice location at 48706-2835. Etha is affiliated with the POM ACO (ACO ID: A1297) and McLaren High Performance Network, LLC (ACO ID: A3317), participating under the MSSP model.

Etha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 253 traditional Medicare patients, billed 2,694 HCPCS/CPT codes, and received $177,890 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 2,016 prescription claims across 147 beneficiaries totaling $43,232 in drug costs, led by Savella (Milnacipran Hcl). DME data shows 106 claims. No Open Payments records. 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 $229,985 to $177,890. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $412,635 to $43,232. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $22,890 and ending at $27,599.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	528	5,510	$229,985
2016	533	4,839	$215,704
2017	532	6,121	$268,307
2018	488	5,896	$200,451
2019	424	8,367	$191,057
2020	342	6,132	$180,433
2021	313	3,172	$157,969
2022	250	3,942	$167,443
2023	273	2,901	$187,220
2024	253	2,694	$177,890

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	311	4,331	$412,635
2016	345	4,659	$312,546
2017	322	3,675	$204,224
2018	263	2,813	$153,636
2019	201	2,326	$92,207
2020	173	2,067	$67,923
2021	154	1,935	$53,405
2022	145	1,958	$54,132
2023	188	2,121	$50,666
2024	147	2,016	$43,232

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	26	221	$13,363
2016	55	251	$6,523
2017	70	295	$4,844
2018	37	202	$3,426
2019	85	303	$17,122
2020	59	217	$4,943
2021	54	362	$12,370
2022	48	226	$8,205
2023	25	150	$6,493
2024	18	106	$4,595

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	130	146	$106
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	134	411	$97
99238	Hospital discharge day management, 30 minutes or less	59	59	$66
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	1,220	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	67	188	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Savella	Milnacipran Hcl	11	360	$5,650
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	408	11,622	$5,480
Fentanyl	Fentanyl	62	1,860	$4,479
Duloxetine Hcl	Duloxetine Hcl	120	4,632	$2,454
Morphine Sulfate Er	Morphine Sulfate	144	4,215	$2,451

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	17	$2,315
E0143	Walker, folding, wheeled, adjustable or fixed height	N	18	18	$968
K0001	Standard wheelchair	Y	N/R	33	$806
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	14	$331
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	N/R	12	$103

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Venkata Sai Sheshu Kumar Etha?

Tedicare shows public-source Medicare data for Venkata Sai Sheshu Kumar Etha (NPI 1841501863), 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 Venkata Sai Sheshu Kumar Etha have ACO affiliation data?

Venkata Sai Sheshu Kumar Etha is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and McLaren High Performance Network, LLC (MSSP, ACO ID A3317).

What billing organization is linked to Venkata Sai Sheshu Kumar Etha?

Venkata Sai Sheshu Kumar Etha is linked to MCLAREN BAY REGION (billing NPI 1508131087) in the available physician profile data.

Does Venkata Sai Sheshu Kumar Etha have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.