Physician
Setton, Michael
Setton, Michael was paid $10K by Medicaid between Oct 2019 and Oct 2024, across 5 billing codes. Its largest line is 77080, — 33% of everything it billed.
33Billing provider infoSETTON, MICHAEL
EAST ISLIP, NY 11730
EAST ISLIP, NY 11730
33aNPI1114082195assigned 12/27/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$10K
24GClaims543
24DCodes billed5
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in New York
Rank by total paid#621 of 1,568
Median peer was paid$5K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 50 | $680.79 | |
| 2020 | 127 | $2K | |
| 2021 | 145 | $3K | |
| 2022 | 36 | $406.83 | |
| 2023 | 119 | $2K | |
| 2024incomplete | 66 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77080 | 33% | 55 | 55 | $3K | |
| 73562 | 31% | 228 | 160 | $3K | |
| 72100 | 14% | 88 | 88 | $1K | |
| 73630 | 12% | 122 | 93 | $1K | |
| 73030 | 9.8% | 50 | 42 | $928.57 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.