Physician

Ronald Karl Setzkorn, MD

According to 2025 Medicare claims, Ronald Setzkorn, MD (NPI: 1902809445) practices radiation oncology in the Dayton-Kettering-Beavercreek, OH market, with the plurality of this provider's patient population coming from Miami, OH. This provider's primary affiliated billing organization is DAYTON PHYSICIANS, LLC (NPI: 1902844947; TIN: 203130844) and primary practice location at 45373-1337.

Setzkorn's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 361 traditional Medicare patients, billed 12,151 HCPCS/CPT codes, and received $634,766 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 141 prescription claims across 55 beneficiaries totaling $2,695 in drug costs, led by Levothyroxine Sodium (Levothyroxine Sodium). DME data shows 12 claims. Open Payments data shows 4 records totaling $130. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,319 and ending at $2,695. 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	336	8,629	$940,005
2016	348	8,658	$1,008,046
2017	377	11,881	$946,186
2018	432	21,961	$798,493
2019	419	24,330	$833,614
2020	376	18,765	$741,342
2021	391	19,061	$754,448
2022	381	16,542	$771,988
2023	358	12,111	$681,600
2024	361	12,151	$634,766

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	68	131	$3,319
2016	59	136	$4,555
2017	63	108	$3,370
2018	55	111	$4,005
2019	54	133	$5,027
2020	61	134	$2,645
2021	68	171	$3,418
2022	75	177	$3,787
2023	58	168	$4,083
2024	55	141	$2,695

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	29	$1,990
2018	N/R	54	$7,019
2019	N/R	58	$8,386
2020	N/R	49	$7,530
2021	N/R	35	$5,866
2022	N/R	28	$4,673
2023	N/R	24	$4,692
2024	N/R	12	$3,356

* / # = 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
77427	Radiation treatment management, 5 treatment sessions	64	199	$145
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$124
77334	Design and construction of complex radiation treatment device	62	198	$93
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	314	$83
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	169	261	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Levothyroxine Sodium	Levothyroxine Sodium	62	4,686	$448
Synthroid	Levothyroxine Sodium	11	990	$119
Memantine Hcl	Memantine Hcl	13	408	$114

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	12	$3,356

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$130	Regeneron Healthcare Solutions, 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 Ronald Karl Setzkorn, MD?

Tedicare shows public-source Medicare data for Ronald Karl Setzkorn, MD (NPI 1902809445), 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 Ronald Karl Setzkorn, MD have ACO affiliation data?

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

What billing organization is linked to Ronald Karl Setzkorn, MD?

Ronald Karl Setzkorn, MD is linked to DAYTON PHYSICIANS, LLC (billing NPI 1902844947) in the available physician profile data.

Does Ronald Karl Setzkorn, MD have Open Payments data?

Ronald Karl Setzkorn, MD has 4 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.