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Shivani Sethi, MD

Family Practice · Santa Clara

NPI 1891926085

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Offices
2

Offices

2 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sethi’s office at (408) 851-1000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

Original Medicare doctor bills

$2,495

Medicare paid this office $2,495 for 11 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)11$1,227$68

Who their Medicare patients are

11 Original Medicare patients in 2024. Average age 61 · 85 and older 0% · Health risk score 0.63. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

The office billed $7,034, Medicare allowed $3,607 and paid $2,495; for 41 services of 12 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Medicaid work

$1,796 in 2024

Medicaid paid $1,796 for 78 billed services this clinician did in 2024, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)78$1,796
Medicaid work by year
202478117$1,796
202324112$0
202212112$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)24$0

2022

Largest Medicaid services in 2022
Short return visit (20+ min)12$0

Drugs they prescribed that Part D paid

$86,967

Pharmacies billed $86,967 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 2% of their Part D prescriptions (31 of 1,506) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

1,301 generic and 165 brand-name prescriptions · $86,967 in drug cost · 65 antibiotic prescriptions to 46 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Jardiance20$12,083$604
Pradaxa26$4,998$192
Levothyroxine102$1,750$17
Divalproex12$1,709$142
Risperidone13$1,706$131
See all 36 drugs
Every Part D drug this clinician prescribed
Jardiance20$12,083$604
Pradaxa26$4,998$192
Levothyroxine102$1,750$17
Divalproex12$1,709$142
Risperidone13$1,706$131
Alvesco11$1,660$151
Atorvastatin97$1,048$11
Amlodipine Besylate66$769$12
Famotidine32$654$20
Atenolol47$609$13
Simvastatin51$584$11
Losartan51$524$10
Gabapentin24$496$21
Lisinopril37$438$12
Metoprolol35$395$11
Lorazepam28$344$12
Albuterol Sulfate Hfa20$340$17
Metoprolol27$323$12
Fluticasone Propionate17$319$19
Hydrocodone-Acetaminophen20$305$15
Alendronate30$294$10
Hydrochlorothiazide26$293$11
Metformin27$285$11
Furosemide26$276$11
Paxlovid (Eua)15$255$17
Lisinopril-Hydrochlorothiazide23$232$10
Metformin Hcl Er19$212$11
Pantoprazole20$211$11
Trazodone21$211$10
Glipizide14$183$13
Potassium Chloride13$161$12
Naproxen15$138$9
Omeprazole11$130$12
Ibuprofen15$118$8
Azithromycin11$67$6
Sulfamethoxazole-Trimethoprim11$61$6

Year by year

Part D prescribing by year
20241,5061962% (31)11%$86,967
20231,4692683% (40)9%$79,060
20221,2822353% (37)10%$62,430
20211,0661793% (28)12%$64,029
20208761172% (18)11%$46,301
2019770119None13%$37,665
2018556109NoneNone$31,911
201746589NoneNone$19,558
201641798NoneNone$18,335
2015364100NoneNone$15,308
201435886NoneNone$14,051
201320578None23%$10,503

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 35 drugs

Part D drugs prescribed in 2023
Pradaxa23$6,282$273
Levothyroxine95$2,052$22
Alvesco13$1,807$139
Risperidone13$1,679$129
Divalproex13$1,599$123
Paxlovid (Eua)93$1,575$17
Terazosin16$1,107$69
Atorvastatin75$1,043$14
Amlodipine Besylate63$718$11
Gabapentin32$699$22
Famotidine29$595$21
Atenolol43$572$13
Diclofenac13$559$43
Losartan44$486$11
Simvastatin40$461$12
Hydrochlorothiazide41$454$11
Lisinopril34$396$12
Alendronate31$320$10
Albuterol Sulfate Hfa18$313$17
Lisinopril-Hydrochlorothiazide32$300$9
Lorazepam38$300$8
Pantoprazole23$296$13
Metformin25$281$11
Furosemide22$260$12
Metoprolol28$247$9
Hydrocodone-Acetaminophen20$245$12
Metoprolol17$226$13
Trazodone18$224$12
Fluticasone Propionate16$221$14
Ibuprofen16$163$10
Tramadol17$155$9
Rosuvastatin12$154$13
Metformin Hcl Er13$143$11
Naproxen12$122$10
Ondansetron Odt12$87$7

2022: 38 drugs

Part D drugs prescribed in 2022
Pradaxa11$5,873$534
Divalproex12$2,642$220
Risperidone12$1,755$146
Levothyroxine71$1,581$22
Alvesco12$1,490$124
Synthroid12$1,231$103
Famotidine32$877$27
Atorvastatin64$815$13
Terazosin18$765$43
Atenolol57$722$13
Gabapentin34$721$21
Diclofenac16$647$40
Amlodipine Besylate52$610$12
Hydrochlorothiazide50$491$10
Simvastatin42$485$12
Losartan41$468$11
Lisinopril33$410$12
Lisinopril-Hydrochlorothiazide33$371$11
Pantoprazole26$362$14
Albuterol Sulfate Hfa19$315$17
Metoprolol31$295$10
Metoprolol11$252$23
Metformin Hcl Er24$240$10
Furosemide19$217$11
Hydrocodone-Acetaminophen17$208$12
Lorazepam24$196$8
Nitrofurantoin Mono-Macro13$188$14
Paxlovid (Eua)12$185$15
Naproxen12$174$15
Alendronate15$173$12
Tramadol16$166$10
Ondansetron Odt18$137$8
Rosuvastatin11$134$12
Acyclovir11$133$12
Metformin14$120$9
Omeprazole11$115$10
Trazodone12$115$10
Zolpidem13$79$6

2021: 21 drugs

Part D drugs prescribed in 2021
Pradaxa13$6,447$496
Divalproex12$2,603$217
Risperidone13$1,571$121
Levothyroxine58$1,397$24
Famotidine40$831$21
Atenolol74$818$11
Atorvastatin54$650$12
Terazosin11$441$40
Simvastatin37$421$11
Losartan38$419$11
Pantoprazole22$392$18
Amlodipine Besylate34$388$11
Hydrochlorothiazide38$385$10
Lisinopril26$319$12
Metoprolol33$288$9
Gabapentin20$245$12
Albuterol Sulfate Hfa12$243$20
Lisinopril-Hydrochlorothiazide17$182$11
Hydrocodone-Acetaminophen20$172$9
Lorazepam18$159$9
Metformin Hcl Er13$138$11

2020: 17 drugs

Part D drugs prescribed in 2020
Levothyroxine51$1,438$28
Diclofenac15$830$55
Atenolol62$614$10
Atorvastatin43$599$14
Simvastatin43$482$11
Pantoprazole23$340$15
Metoprolol33$301$9
Amlodipine Besylate26$278$11
Losartan25$266$11
Hydrochlorothiazide22$241$11
Lisinopril20$231$12
Ultra-Fine Mini Pen Needle11$222$20
Famotidine26$204$8
Lisinopril-Hydrochlorothiazide19$197$10
Alendronate12$149$12
Zolpidem11$79$7
Meloxicam11$67$6

2019: 17 drugs

Part D drugs prescribed in 2019
Levothyroxine46$1,464$32
Diclofenac13$1,366$105
Atorvastatin35$789$23
Ventolin Hfa11$742$67
Atenolol48$573$12
Simvastatin41$455$11
Omeprazole14$398$28
Pantoprazole19$334$18
Lisinopril26$311$12
Metoprolol33$309$9
Amlodipine Besylate20$226$11
Hydrochlorothiazide19$212$11
Lisinopril-Hydrochlorothiazide18$175$10
Alendronate12$175$15
Losartan17$169$10
Zolpidem11$107$10
Fluoxetine11$91$8

2018: 12 drugs

Part D drugs prescribed in 2018
Spiriva Respimat15$4,735$316
Advair Diskus14$3,635$260
Levothyroxine36$1,241$34
Atenolol43$491$11
Atorvastatin17$420$25
Simvastatin38$403$11
Pantoprazole16$315$20
Metoprolol24$233$10
Hydrochlorothiazide20$220$11
Lisinopril17$183$11
Lisinopril-Hydrochlorothiazide15$152$10
Amlodipine Besylate11$85$8

2017: 11 drugs

Part D drugs prescribed in 2017
Levothyroxine27$1,013$38
Atorvastatin15$408$27
Atenolol35$395$11
Simvastatin34$392$12
Lisinopril20$214$11
Fluticasone Propionate14$198$14
Hydrochlorothiazide15$165$11
Lisinopril-Hydrochlorothiazide16$157$10
Metoprolol16$150$9
Amlodipine Besylate12$104$9
Lorazepam13$80$6

2016: 11 drugs

Part D drugs prescribed in 2016
Levothyroxine38$1,255$33
Simvastatin32$553$17
Atorvastatin13$388$30
Atenolol28$318$11
Fluticasone Propionate17$207$12
Lisinopril16$171$11
Amlodipine Besylate11$168$15
Alendronate11$164$15
Lisinopril-Hydrochlorothiazide14$147$10
Hydrochlorothiazide12$127$11
Metoprolol11$108$10

2015: 10 drugs

Part D drugs prescribed in 2015
Levothyroxine27$933$35
Simvastatin25$455$18
Atorvastatin15$452$30
Atenolol18$198$11
Alendronate11$164$15
Lisinopril14$154$11
Hydrochlorothiazide12$137$11
Metformin13$135$10
Lisinopril-Hydrochlorothiazide11$108$10
Ciprofloxacin11$84$8

2014: 9 drugs

Part D drugs prescribed in 2014
Levothyroxine27$621$23
Finasteride11$463$42
Simvastatin24$380$16
Atorvastatin12$356$30
Amlodipine Besylate11$229$21
Allopurinol13$210$16
Lisinopril12$137$11
Atenolol11$128$12
Ciprofloxacin11$93$8

2013: 2 drugs

Part D drugs prescribed in 2013
Levothyroxine12$282$23
Atenolol12$140$12

Professional record

NPI
1891926085
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Student in a training program (390200000X)
Mailing address
33 Overlook Rd, Suite L01, Summit, NJ, 07901
NPI first listed
2009-08-05
NPI last updated
2022-02-11

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.