SETU PATEL, M.D.
Retina Specialist (Ophthalmology) Physician · PHOENIX, AZ
Individual Active NPI 1801259361
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 933 | 14,388 | $1,685,181 | $1,433,745 | $1,119,125 |
| 2023 | 678 | 7,324 | $1,064,476 | $871,625 | $673,707 |
| 2022 | 519 | 1,794 | $359,111 | $269,681 | $213,784 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 7,560 | $35 | $28 |
| 92134 | Imaging of retina | 2,064 | $39 | $29 |
| 67028 | Injection of drug into eye | 1,142 | $119 | $91 |
| J7999 | Compounded drug, not otherwise classified | 822 | $93 | $73 |
| J0178 | Injection, aflibercept, 1 mg | 664 | $824 | $656 |
| 92014 | Established patient complete exam of visual system | 442 | $121 | $83 |
| 92012 | Established patient problem focused exam of visual system | 390 | $86 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 290 | $88 | $68 |
| J2778 | Injection, ranibizumab, 0.1 mg | 200 | $156 | $124 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 125 | $161 | $117 |
| 92004 | New patient complete exam of visual system | 74 | $143 | $90 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 69 | $55 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ✓ | 60609 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.