Active NPI 1285625194 Individual Practitioner Female Practitioner

Dr. Ramona S Sheth , MD

Internal Medicine • Niles, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ramona Sheth, MD is a certified Internal Medicine practicing in Niles, OH. With approximately 26 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2000, Dr. Sheth delivers high-quality medical care to the local community at 940 ROBBINS AVE.

Dr. Sheth maintains professional affiliations with S And J Med Inc, Novacare Rehabilitation Of Ohio Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

940 Robbins Ave

Niles, OH 444462468

Telephone 3306527973

Fax 3306527876

Associated Practice Facility / Clinic

🏢 Dr. Yogesh O. Sheth, Md Facility NPI 1205816501

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niles, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -9.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Niles, OH (5516 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (26 Years) 26 Yrs

Niles Specialty Average (35.3 Years) 35.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	395	194	$95.00	$86.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	136	$130.00	$121.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$145.00	$122.76
G0008 Administration of influenza virus vaccine	49	49	$25.00	$24.50
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	49	40	$75.00	$50.28
90661 Influenza vaccine, trivalent derived from cell cultures	47	47	$75.00	$36.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	38	38	$350.00	$291.84
G0009 Administration of pneumococcal vaccine	38	38	$30.00	$29.40
82962 Blood glucose (sugar) test performed by hand-held instrument	30	19	$16.00	$3.21
G0444 Annual depression screening, 5 to 15 minutes	22	22	$35.00	$17.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$110.00	$50.43
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$95.00	$13.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$180.00	$170.93
99496 Transitional care management services for problem of high complexity	15	14	$300.00	$264.15
81002 Urinalysis, manual test	13	11	$25.00	$3.41
99238 Hospital discharge day management, 30 minutes or less	12	12	$80.00	$77.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	162	$130.00	$123.82
99213 Established patient office or other outpatient visit, typically 15 minutes	314	179	$95.00	$87.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$145.00	$125.39
G0008 Administration of influenza virus vaccine	67	67	$25.00	$24.50
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	64	64	$40.00	$20.46
G0444 Annual depression screening, 5 to 15 minutes	58	58	$35.00	$17.64
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$29.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$350.00	$281.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$110.00	$50.23
82962 Blood glucose (sugar) test performed by hand-held instrument	17	13	$16.00	$3.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$195.00	$160.89
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$95.00	$13.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	521	237	$95.00	$86.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$145.00	$122.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	71	$130.00	$121.04
90756 Vaccine for influenza for injection into muscle	86	86	$40.00	$29.97
G0008 Administration of influenza virus vaccine	82	82	$25.00	$24.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$70.00	$53.61
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$28.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	18	$110.00	$49.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$195.00	$157.11
99442 Telephone medical discussion with physician, 11-20 minutes	22	22	$95.00	$85.68
99441 Telephone medical discussion with physician, 5-10 minutes	19	16	$70.00	$53.30
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$95.00	$13.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$350.00	$278.72
81002 Urinalysis, manual test	15	11	$25.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$180.00	$161.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$185.00	$156.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	582	253	$94.45	$88.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$142.73	$128.63
90756 Vaccine for influenza for injection into muscle	74	74	$38.92	$28.37
G0008 Administration of influenza virus vaccine	73	73	$25.00	$16.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	47	$130.00	$124.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	15	$85.00	$70.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$193.46	$163.35
82962 Blood glucose (sugar) test performed by hand-held instrument	30	22	$16.00	$3.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$110.00	$51.09
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$93.95	$13.59
99442 Telephone medical discussion with physician, 11-20 minutes	19	17	$93.42	$88.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$70.00	$54.37
81002 Urinalysis, manual test	18	13	$25.00	$3.48
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$16.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$178.33	$164.12
99239 Hospital discharge day management, more than 30 minutes	12	12	$135.00	$103.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	683	268	$85.00	$71.86
G0008 Administration of influenza virus vaccine	65	65	$25.00	$16.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	65	$35.00	$19.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	58	21	$55.00	$21.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$132.36	$111.81
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	13	$14.57	$1.92
G0009 Administration of pneumococcal vaccine	44	44	$30.00	$15.94
85610 Blood test, clotting time	39	11	$30.00	$4.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$185.00	$165.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$115.00	$99.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$65.00	$43.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	11	$20.00	$13.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$125.00	$116.58
82962 Blood glucose (sugar) test performed by hand-held instrument	25	19	$16.00	$3.27
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	17	$31.67	$13.00
90670 Pneumococcal vaccine for injection into muscle	17	17	$255.29	$224.94
J1030 Injection, methylprednisolone acetate, 40 mg	16	14	$29.00	$6.12
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	15	$75.00	$51.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$110.00	$51.53
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$74.62	$48.50
81002 Urinalysis, manual test	12	12	$25.00	$3.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	858	307	$85.00	$71.07
G0008 Administration of influenza virus vaccine	75	75	$25.00	$15.54
90756 Vaccine for influenza for injection into muscle	74	74	$35.00	$26.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	58	$65.00	$42.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	57	15	$55.00	$21.47
85610 Blood test, clotting time	47	14	$30.00	$4.28
G0009 Administration of pneumococcal vaccine	42	42	$30.00	$15.75
82962 Blood glucose (sugar) test performed by hand-held instrument	34	25	$16.00	$3.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	12	$10.00	$1.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$134.38	$110.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$115.00	$104.35
81002 Urinalysis, manual test	27	22	$25.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	25	21	$250.00	$156.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$117.71	$107.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$110.00	$50.92
J1030 Injection, methylprednisolone acetate, 40 mg	21	19	$29.00	$6.37
90670 Pneumococcal vaccine for injection into muscle	19	19	$250.00	$211.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$140.00	$104.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$185.00	$164.42
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$94.62	$16.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	940	313	$85.00	$68.06
G0008 Administration of influenza virus vaccine	65	65	$25.00	$18.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	52	$65.00	$40.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	55	15	$55.00	$19.89
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	53	53	$30.00	$17.88
G0009 Administration of pneumococcal vaccine	42	42	$30.00	$18.84
82962 Blood glucose (sugar) test performed by hand-held instrument	38	26	$16.00	$3.21
85610 Blood test, clotting time	36	13	$30.00	$4.75
J1030 Injection, methylprednisolone acetate, 40 mg	33	28	$29.00	$6.71
81002 Urinalysis, manual test	29	24	$25.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$140.00	$101.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$133.46	$108.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$110.00	$50.11
90670 Pneumococcal vaccine for injection into muscle	25	25	$204.00	$195.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$100.00	$92.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$85.00	$69.32
99495 Transitional care management services for problem of at least moderate complexity	14	13	$250.00	$152.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$185.00	$160.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,154	341	$85.00	$67.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	18	$55.00	$18.43
G0008 Administration of influenza virus vaccine	59	59	$25.00	$23.36
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	58	58	$30.00	$17.34
82962 Blood glucose (sugar) test performed by hand-held instrument	49	37	$16.00	$3.15
G0009 Administration of pneumococcal vaccine	49	48	$30.00	$23.76
85610 Blood test, clotting time	45	19	$30.00	$5.28
90670 Pneumococcal vaccine for injection into muscle	40	39	$200.00	$185.95
J1030 Injection, methylprednisolone acetate, 40 mg	35	28	$29.00	$5.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$133.79	$106.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$110.00	$49.53
81002 Urinalysis, manual test	28	23	$25.00	$3.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$140.00	$100.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$115.00	$99.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$185.00	$157.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$65.00	$39.90
93000 Routine ekg using at least 12 leads including interpretation and report	16	12	$93.44	$15.64
J1020 Injection, methylprednisolone acetate, 20 mg	14	14	$27.00	$5.15

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35079669

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2431149 (OH)

Commercial Insurance / Payer ID Caresource

311513392027 (OH)

Commercial Insurance / Payer ID Wellcare

450264 (OH)

Commercial Insurance / Payer ID Anthem

000000229715 (OH)

Commercial Insurance / Payer ID Anthem

000000557944 (OH)

Commercial Insurance / Payer ID Caresource

341195211028 (OH)

Commercial Insurance / Payer ID Aetna

7613366 (OH)

Commercial Insurance / Payer ID Unison

000000179630 (OH)

Commercial Insurance / Payer ID Cigna

8503768 (OH)

Hospital & Practice Group Affiliations

Novacare Rehabilitation Of Ohio Inc

656 Youngstown Warren Rd, Niles, OH 444464356

Phone: 3305051362

S And J Med Inc

2760 Parkman Rd Nw, Warren, OH 444851635

Phone: 3308981723

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Sanjay Sheth , MD

Internal Medicine

NPI 1285616383

Doctor of Medicine (M.D.)

Dr. Yogesh Sheth , MD

Internal Medicine

NPI 1467449371

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2012

Registered at 940 ROBBINS AVE, NILES, OH 444462468 (Tel: 3306527973)

📍

Updated Business Mailing Address July 18, 2012

Registered at 940 ROBBINS AVE, NILES, OH 444462468 (Tel: 3306527973)

👤

Provider Name / Credentials Updated July 18, 2012

Recorded as RAMONA SHETH, M.D.,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2012

Internal Medicine (License #35079669 in OH)

🟢

Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285625194

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2005

Last Update: July 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

940 Robbins Ave

Niles, OH 444462468

Phone: 3306527973

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.