What is Kevin Setter's specialty?

Kevin Setter (NPI 1740285584) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in East Syracuse, NY.

Where does Kevin Setter practice?

Kevin Setter practices in East Syracuse, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1740285584.

How much does Medicare pay Kevin Setter?

Kevin Setter (NPI 1740285584) received approximately $241K in total Medicare Part B payments, serving 555 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1740285584

Kevin SetterMD

PRACTICEUPSTATE ORTHOPEDICS, LLPSee all providers at this practice →

Orthopedic SurgeryEast Syracuse, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,415

Unique beneficiaries

—

Total services

10,734

Distinct HCPCS

Medicare payment

$201K

Peer benchmark

Total Medicare services vs. 1,320 Orthopedic Surgery providers in NY — top quintile (cohort median 1,129).

PRESCRIBING · PART D · 2024

Total Rx claims

278

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

64.7%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen117 claims

Methylprednisolone81 claims

Hydrocodone/Acetaminophen36 claims

Amoxicillin/Potassium Clav27 claims

Tramadol Hcl17 claims

QUALITY · MIPS · 2024

Final MIPS score

91.4

Quality

90.7

Cost

80.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.69%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$1K

Travel and Lodging$200

Top paying entities

Consulting Fee$2K

Food and Beverage$1K

Travel and Lodging$200

REFERRAL NETWORK

Where Kevin Setter'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). 20 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Upstate Orthopedics Ambulatory Surgery Center Llc Ambulatory Surgical Center · East Syracuse, NY	65	109
CROUSE HEALTH HOSPITAL, INC.	49	161
MONSOUR, DAVID	46	108
Laboratory Alliance Of Central New York, Llc Clinical Laboratory · Liverpool, NY	41	111
ST JOSEPHS HOSPITAL HEALTH CENTER	29	70
Jennifer Knutsen Diagnostic Radiology · Edina, MN	20	43
DECARLO, PAUL	20	41
SWERDLOW, JO BETTY	17	36
CENTREX CLINICAL LABORATORIES INC	16	80
KOSCIEWICZ, FRANCIS	16	25
Daniel Villarreal Cardiology · Syracuse, NY	16	46
AUBURN COMMUNITY HOSPITAL	15	68

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history