Physician

Sampoornima Setty, M.D.

According to 2025 Medicare claims, Sampoornima Setty, M.D. (NPI: 1851398283) practices interventional cardiology in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-4560. Setty is affiliated with the Froedtert & The Medical College of Wisconsin ACO, LLC (ACO ID: A4825), Gundersen ACO (ACO ID: A5094), and SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Setty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,109 traditional Medicare patients, billed 2,246 HCPCS/CPT codes, and received $142,858 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,970 prescription claims across 594 beneficiaries totaling $150,531 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 17 records totaling $10,181. 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 $88,346 and ending at $142,858. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $20,949 to $150,531. 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	716	1,040	$88,346
2016	1,025	1,554	$99,399
2017	1,205	1,882	$132,805
2018	891	1,287	$65,432
2019	753	1,131	$71,752
2020	421	798	$77,456
2021	675	1,195	$100,472
2022	832	1,246	$82,141
2023	727	1,382	$102,686
2024	1,109	2,246	$142,858

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	102	488	$20,949
2016	111	555	$19,086
2017	131	581	$30,583
2018	94	367	$28,663
2019	126	421	$54,513
2020	178	760	$86,835
2021	253	971	$143,408
2022	323	1,365	$218,033
2023	394	1,199	$186,661
2024	594	1,970	$150,531

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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	185	$66
78452	Nuclear medicine studies of heart muscle at rest and with stress and spect	101	101	$53
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	234	235	$46
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	86	92	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	550	772	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	32	2,113	$38,951
Repatha Sureclick	Evolocumab	24	1,288	$24,256
Jardiance	Empagliflozin	12	1,020	$19,389
Entresto	Sacubitril/Valsartan	18	660	$14,413
Xarelto	Rivaroxaban	11	787	$13,577

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.	17	$10,181	Medtronic, 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 Sampoornima Setty, M.D.?

Tedicare shows public-source Medicare data for Sampoornima Setty, M.D. (NPI 1851398283), 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 Sampoornima Setty, M.D. have ACO affiliation data?

Sampoornima Setty, M.D. is shown with ACO affiliation data for Froedtert & The Medical College of Wisconsin ACO, LLC (MSSP, ACO ID A4825), Gundersen ACO (MSSP, ACO ID A5094), and SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Sampoornima Setty, M.D.?

Sampoornima Setty, M.D. is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Sampoornima Setty, M.D. have Open Payments data?

Sampoornima Setty, M.D. has 17 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.