Don Setliff MD PA

Don Setliff MD PA was paid $130K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 80% of everything it billed.

33Billing provider infoDON SETLIFF MD PA
EL CENTRO, CA 92243

33aNPI1851641336assigned 09/12/2012

33bProvider typeOtolaryngology Physician

28Total paid$130K

24GClaims2,539

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#67 of 168

Median peer was paid$67K

This provider vs. median1.9×

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	271	$17K
2019	334	$20K
2020	337	$12K
2021	408	$24K
2022	338	$18K
2023	655	$21K
2024incomplete	196	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	80%	1,867	1,865	$104K
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	14%	285	285	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	232	211	$6K
92504		1.4%	155	130	$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 officialSETLIFF, DON (PRESIDENT)