npidexNPI registry + Medicare data

GAVIN SETZEN, MD

Otolaryngology Physician · ALBANY, NY

Individual Active NPI 1063419232

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246228,681$481,888$212,772$157,300
20236088,746$541,181$255,627$192,202
20226599,212$555,787$271,625$200,956

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
95165Professional service for preparation and provision of 1 or more antigens2,813$14$10
95117Professional service for multiple injections of allergen1,506$12$8
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,380$0$0
95004Test for allergy using allergenic extract1,239$3$2
95024Test for allergy using allergenic extract injected into skin655$7$6
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more466$122$90
31575Diagnostic exam of voice box using a flexible endoscope156$122$86
31231Diagnostic exam of nasal passages using an endoscope142$175$131
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more61$154$116
69210Removal of impacted ear wax39$42$29
77011Ct guidance for needle or tube localization35$204$158
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more33$87$61

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Otolaryngology Physician207Y00000X✓191506NY
Facial Plastic Surgery Physician207YS0123X1915061NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.