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

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