Physician

Nandini Setia, MD

According to 2025 Medicare claims, Nandini Setia, MD (NPI: 1346583762) practices rheumatology in the Atlanta-Sandy Springs-Roswell, GA market, with the plurality of this provider's patient population coming from Fulton, GA. This provider's primary affiliated billing organization is ARTICULARIS HEALTHCARE GROUP INC. (NPI: 1083696413; TIN: 571099718) and primary practice location at 30328-5512. Setia is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Setia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 297 traditional Medicare patients, billed 63,769 HCPCS/CPT codes, and received $904,958 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 828 prescription claims across 184 beneficiaries totaling $468,470 in drug costs, led by Enbrel (Etanercept). 2019 DME data shows 24 claims. Open Payments data shows 125 records totaling $2,768. 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 risen steadily, from $35,308 to $904,958. Similarly, Part D prescription costs have moved sharply higher in recent years, from $17,916 to $468,470. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$466K$932K2016 Medicare payment: $35,308 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $54,227 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $32,664 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $28,590 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $90,515 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $578,962 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $931,670 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $904,958 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016207445$35,308
2017363804$54,227
2018226443$32,664
2019N/RN/RN/R
202035744$28,590
20211203,395$90,515
202228843,282$578,962
202335467,647$931,670
202429763,769$904,958

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$234K$468K2015 Drug cost: $17,916 (USD; Tot_Drug_Cst)2016 Drug cost: $16,794 (USD; Tot_Drug_Cst)2017 Drug cost: $15,974 (USD; Tot_Drug_Cst)2018 Drug cost: $23,089 (USD; Tot_Drug_Cst)2019 Drug cost: $62,829 (USD; Tot_Drug_Cst)2020 Drug cost: $127,611 (USD; Tot_Drug_Cst)2021 Drug cost: $73,623 (USD; Tot_Drug_Cst)2022 Drug cost: $103,101 (USD; Tot_Drug_Cst)2023 Drug cost: $288,414 (USD; Tot_Drug_Cst)2024 Drug cost: $468,470 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201520287$17,916
201656266$16,794
201792307$15,974
201869181$23,089
201939165$62,829
202048149$127,611
202171330$73,623
2022159607$103,101
2023180883$288,414
2024184828$468,470

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$618$1.2K2017 Medicare payment: $1,237 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $890 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R26$1,237
2018N/RN/RN/R
2019N/R24$890
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5555$122
96413Administration of chemotherapy into vein, 1 hour or less74365$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more250576$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5457$64
80053Blood test, comprehensive group of blood chemicals4758$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EnbrelEtanercept22616$163,430
TeriparatideTeriparatide12336$19,938
Hydroxychloroquine SulfateHydroxychloroquine Sulfate1449,019$6,168
MethotrexateMethotrexate Sodium997,444$3,446
CelecoxibCelecoxib17885$3,425

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.125$2,768ANI Pharmaceuticals, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Nandini Setia, MD?

Tedicare shows public-source Medicare data for Nandini Setia, MD (NPI 1346583762), 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 Nandini Setia, MD have ACO affiliation data?

Nandini Setia, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Nandini Setia, MD?

Nandini Setia, MD is linked to ARTICULARIS HEALTHCARE GROUP INC. (billing NPI 1083696413) in the available physician profile data.

Does Nandini Setia, MD have Open Payments data?

Nandini Setia, MD has 125 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.