Physician

Adina Setren-Gould, O.D.

According to 2025 Medicare claims, Adina Setren-Gould, O.D. (NPI: 1326113226) practices optometrist in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is ADINA S. GOULD OD PA (NPI: 1114106366; TIN: 200438361) and primary practice location at 33140-3509.

Setren-Gould's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 68 traditional Medicare patients, billed 210 HCPCS/CPT codes, and received $9,316 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 15 prescription claims totaling $3,690 in drug costs. Open Payments data shows 14 records totaling $969. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $15,855 and ending at $9,316. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $8,133 and ending at $3,690. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	89	244	$15,855
2016	67	249	$12,580
2017	61	251	$11,335
2018	61	260	$11,473
2019	76	379	$17,138
2020	43	186	$8,554
2021	59	219	$9,823
2022	64	215	$8,751
2023	68	254	$10,982
2024	68	210	$9,316

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	21	70	$8,133
2016	12	52	$7,450
2017	12	34	$4,034
2018	16	28	$3,938
2019	12	19	$1,268
2020	N/R	20	$4,307
2021	18	30	$6,796
2022	11	25	$6,864
2023	16	32	$4,432
2024	N/R	15	$3,690

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
92014	Established patient complete exam of visual system	49	52	$94
92250	Photography of the retina	64	67	$26
92285	Photography of content of eyes	66	75	$18

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$969	Johnson & Johnson Vision Care, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Adina Setren-Gould, O.D.?

Tedicare shows public-source Medicare data for Adina Setren-Gould, O.D. (NPI 1326113226), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adina Setren-Gould, O.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adina Setren-Gould, O.D.?

Adina Setren-Gould, O.D. is linked to ADINA S. GOULD OD PA (billing NPI 1114106366) in the available physician profile data.

Does Adina Setren-Gould, O.D. have Open Payments data?

Adina Setren-Gould, O.D. has 14 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.