Clinic
Shannon Setzer M.D., P.C.
Shannon Setzer M.D., P.C. was paid $94K by Medicaid between Jan 2018 and Jun 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSHANNON SETZER M.D., P.C.
BOZEMAN, MT 59718
BOZEMAN, MT 59718
33aNPI1316188337assigned 03/20/2009
33bProvider typeClinic/Center
28Total paid$94K
24GClaims1,337
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#53 of 91
Median peer was paid$152K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 470 | $24K | |
| 2019 | 375 | $24K | |
| 2020 | 142 | $8K | |
| 2021 | 146 | $16K | |
| 2022 | 126 | $13K | |
| 2023 | 78 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 794 | 628 | $46K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 245 | 221 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 253 | 193 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.0% | 32 | 26 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 13 | 13 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialSETZER, SHANNON (PRESIDENT)