MICHAEL SETHNA, M.D.
Neurology Physician · BLOOMINGTON, MN
Individual Active NPI 1538164363
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 395 | 24,326 | $1,787,163 | $840,904 | $662,912 |
| 2023 | 349 | 11,771 | $1,664,868 | $634,652 | $499,540 |
| 2022 | 337 | 8,665 | $1,151,347 | $418,488 | $329,567 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 3,400 | $18 | $15 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 650 | $0 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 315 | $0 | $0 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 163 | $172 | $123 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | $123 | $79 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 71 | $161 | $111 |
| 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 | $16 | $11 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $212 | $166 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 33 | $62 | $50 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 27 | $31 | $24 |
| 20553 | Injection of trigger points, 3 or more muscles | 23 | $46 | $35 |
| 96375 | Injection of additional new drug or substance into vein | 21 | $15 | $12 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | 40345 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Neurology Physician providers in Minnesota
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- NPI 1194980045
- NPI 1528322880
- NPI 1982608535
- NPI 1033113063
- NPI 1215964499
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.