Physician

Shannon Setzer, M.D.

According to 2025 Medicare claims, Shannon Setzer, M.D. (NPI: 1639355928) practices dermatology in the Bozeman, MT market, with the plurality of this provider's patient population coming from Gallatin, MT. This provider's primary affiliated billing organization is SHANNON SETZER M.D., P.C. (NPI: 1316188337; TIN: 262526662) and primary practice location at 59718-4532.

Setzer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 828 traditional Medicare patients, billed 5,220 HCPCS/CPT codes, and received $480,553 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 496 prescription claims across 202 beneficiaries totaling $30,655 in drug costs, led by Clobetasol Propionate (Clobetasol Propionate). No Open Payments records. 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 $224,066 to $480,553. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $158,696 to $30,655. 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	505	3,361	$224,066
2016	574	3,730	$270,844
2017	680	4,240	$331,412
2018	800	4,204	$372,196
2019	884	4,546	$379,720
2020	841	4,048	$372,467
2021	939	4,272	$408,639
2022	895	4,485	$468,618
2023	850	4,790	$509,514
2024	828	5,220	$480,553

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	155	352	$158,696
2016	190	436	$89,574
2017	208	468	$45,460
2018	224	567	$30,043
2019	254	596	$62,429
2020	175	355	$28,344
2021	195	415	$64,579
2022	218	585	$34,373
2023	202	497	$46,217
2024	202	496	$30,655

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
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	165	195	$465
11102	Biopsy of related skin growth, first growth	196	225	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	528	684	$57
17000	Destruction of precancer skin growth, 1 growth	295	366	$36
17003	Destruction of precancer skin growth, 2-14 growths	232	1,371	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Clobetasol Propionate	Clobetasol Propionate	52	1,519	$2,007
Triamcinolone Acetonide	Triamcinolone Acetonide	98	2,999	$1,398
Doxycycline Monohydrate	Doxycycline Monohydrate	20	900	$1,032
Fluorouracil	Fluorouracil	13	350	$631
Fluocinonide	Fluocinonide	12	420	$617

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Shannon Setzer, M.D.?

Tedicare shows public-source Medicare data for Shannon Setzer, M.D. (NPI 1639355928), 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 Shannon Setzer, M.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 Shannon Setzer, M.D.?

Shannon Setzer, M.D. is linked to SHANNON SETZER M.D., P.C. (billing NPI 1316188337) in the available physician profile data.

Does Shannon Setzer, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.