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PROVIDER PROFILE · NPI 1144300542

Samuel SetoM.D.

PRACTICESAMUEL K. SETO MD PLLCSee all providers at this practice →
OphthalmologyEdmonds, WAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 500026
Hospital
REFERRAL NETWORK

Where Samuel Seto's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 6 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SWEDISH EDMONDS112428
UNIVERSITY OF WASHINGTON30132
SWEDISH HEALTH SERVICES2581
Laboratory Corporation Of America
Clinical Laboratory · Seattle, WA
1554
Bich-Khanh Nguyen
Internal Medicine · Edmonds, WA
1368
Arpenik Avakian
Ophthalmology · Edmonds, WA
1176
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SWEDISH EDMONDS109509
SWEDISH EDMONDS99397
UW MEDICINE NORTHWEST41140
UNIVERSITY OF WASHINGTON26153
SWEDISH HEALTH SERVICES2591
John Williams
Internal Medicine · Mcminnville, OR
1697
MITO, ROBERT1555
PROVIDENCE HEALTH & SERVICES-WA1459
Christopher Wallace
Optometry · Juneau, AK
1462
Linda Strong
Internal Medicine · Edmonds, WA
1365
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 21368
Laboratory Corporation Of America
Clinical Laboratory · Seattle, WA
1233
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,409
Unique beneficiaries
—
Total services
1,870
Distinct HCPCS
15
Medicare payment
$113K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 373 Ophthalmology providers in WA — below median (cohort median 2,090).
QUALITY · MIPS · 2024
Final MIPS score
90.1
Quality
100.0
Cost
67.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.64%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,167
Beneficiaries
—
Total drug cost
$130K
Distinct drugs
18
Brand share
28.1%
Top prescribed drugs
Latanoprost480 claims
Diazepam99 claims
Dorzolamide Hcl/Timolol Maleat81 claims
Dorzolamide Hcl57 claims
Netarsudil Mesylat/Latanoprost49 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$330
Payment records
3
By payment type
Food and Beverage$330