MICHAEL SETZEN, M.D.
Specialist · GREAT NECK, NY
Individual Active NPI 1356381628
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 476 | 3,638 | $1,483,254 | $536,482 | $415,126 |
| 2023 | 499 | 3,863 | $1,648,865 | $608,531 | $475,008 |
| 2022 | 480 | 3,770 | $1,557,292 | $545,358 | $420,433 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 962 | $104 | $79 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 781 | $219 | $166 |
| 69210 | Removal of impacted ear wax | 684 | $37 | $28 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 173 | $146 | $114 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 169 | $151 | $119 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 134 | $191 | $151 |
| 92557 | Comprehensive hearing and speech recognition test | 106 | $41 | $31 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 74 | $36 | $27 |
| 92524 | Analysis of voice and resonance production | 70 | $120 | $96 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 70 | $230 | $181 |
| 92563 | Test to assess defects in adaption to sounds | 59 | $41 | $30 |
| 92567 | Test to assess middle ear function | 50 | $19 | $15 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | 150950 | NY |
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.