Physician

Gurvinder Sethi, MD

According to 2025 Medicare claims, Gurvinder Sethi, MD (NPI: 1891884946) practices hematology/oncology in the Kiryas Joel-Poughkeepsie-Newburgh, NY market, with the plurality of this provider's patient population coming from Orange, NY. This provider's primary affiliated billing organization is CRYSTAL RUN HEALTHCARE PHYSICIANS LLP (NPI: 1952376410; TIN: 133843560) and primary practice location at 10941-9998.

Sethi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 782 traditional Medicare patients, billed 163,269 HCPCS/CPT codes, and received $3,166,293 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,785 prescription claims across 326 beneficiaries totaling $4,183,090 in drug costs, led by Xtandi (Enzalutamide). 2022 DME data shows 61 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 moved from a lower plateau to a higher plateau, from $827,707 to $3,166,293. Similarly, Part D prescription costs have moved sharply higher in recent years, from $197,808 to $4,183,090. 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	557	64,749	$827,707
2016	596	106,193	$1,126,483
2017	589	87,998	$1,873,362
2018	619	89,267	$1,834,990
2019	701	120,399	$2,520,643
2020	724	95,959	$1,977,552
2021	749	107,522	$2,269,201
2022	686	118,870	$2,335,891
2023	717	120,271	$2,200,621
2024	782	163,269	$3,166,293

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	172	867	$197,808
2016	175	798	$577,942
2017	168	783	$903,710
2018	196	1,082	$1,285,796
2019	222	1,385	$2,367,173
2020	255	1,438	$2,645,323
2021	270	1,452	$3,688,971
2022	249	1,493	$3,675,626
2023	262	1,572	$3,937,803
2024	326	1,785	$4,183,090

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	56	$5,700
2016	N/R	14	$696
2017	N/R	44	$13,128
2018	N/R	N/R	N/R
2019	N/R	53	$60,473
2020	N/R	N/R	N/R
2021	N/R	18	$2,787
2022	N/R	61	$2,404
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	844	$103
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	276	699	$14
80053	Blood test, comprehensive group of blood chemicals	274	842	$10
36415	Insertion of needle into vein for collection of blood sample	424	1,272	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	395	1,197	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	38	1,140	$533,246
Lenalidomide	Lenalidomide	37	1,001	$480,180
Pomalyst	Pomalidomide	18	504	$444,847
Ibrance	Palbociclib	27	756	$417,969
Abiraterone Acetate	Abiraterone Acetate	92	2,760	$308,359

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Gurvinder Sethi, MD?

Tedicare shows public-source Medicare data for Gurvinder Sethi, MD (NPI 1891884946), 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 Gurvinder Sethi, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Gurvinder Sethi, MD?

Gurvinder Sethi, MD is linked to CRYSTAL RUN HEALTHCARE PHYSICIANS LLP (billing NPI 1952376410) in the available physician profile data.

Does Gurvinder Sethi, MD 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.