SHAAN SETIA, MD
Urology Physician · OAK BROOK, IL
Individual Active NPI 1427410182
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 235 | 944 | $317,947 | $109,654 | $86,276 |
| 2023 | 70 | 201 | $76,284 | $19,429 | $15,435 |
| 2022 | 26 | 61 | $65,197 | $7,793 | $6,067 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 133 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 127 | $12 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 105 | $98 | $77 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 76 | $138 | $105 |
| 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 | 68 | $17 | $14 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $178 | $142 |
| 51741 | Electronic assessment of bladder emptying | 38 | $13 | $10 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 36 | $138 | $103 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 33 | $258 | $191 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 29 | $97 | $75 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 23 | $26 | $21 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $142 | $112 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 036165000 | IL |
| Urology Physician | 208800000X | PENDING | TN |
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.