Supplier
Setzer Pharmacy INC
Setzer Pharmacy INC was paid $956K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T4523, Adult sized disposable incontinence product, brief/diaper, large, each — 23% of everything it billed.
33Billing provider infoSETZER PHARMACY INC
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
33aNPI1861437402assigned 06/18/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$956K
24GClaims8,731
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#58 of 319
Median peer was paid$23K
This provider vs. median41×
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 | 1,253 | $125K | |
| 2019 | 1,215 | $126K | |
| 2020 | 1,163 | $120K | |
| 2021 | 1,084 | $115K | |
| 2022 | 1,162 | $130K | |
| 2023 | 1,644 | $199K | |
| 2024incomplete | 1,210 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 23% | 1,258 | 1,245 | $221K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 20% | 1,121 | 1,103 | $188K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 15% | 1,156 | 1,145 | $147K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 13% | 1,024 | 1,020 | $128K |
| T4541 | Incontinence product, disposable underpad, large, each | 12% | 2,408 | 2,376 | $114K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 5.0% | 415 | 409 | $47K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 4.4% | 509 | 491 | $42K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 2.8% | 184 | 183 | $27K |
| B9998 | Noc for enteral supplies | 2.4% | 260 | 217 | $23K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 332 | 322 | $9K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 24 | 24 | $4K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 24 | 24 | $3K |
1 more codes
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 16 | $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 officialSTAGE, JAMES (PRESIDENT)
Parent organizationSETZER PHARMACY INC
| Provider | Location | Paid |
|---|---|---|
| Alchemist General INC | Saint Paul, MN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.