Dr. Michael Setzen, M.D.
What this data tells you about Dr. Setzen
Dr. Michael Setzen is an optician specialist in Great Neck, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Setzen performed 3,780 Medicare services across 2,222 unique beneficiaries.
Between the years covered by Open Payments, Dr. Setzen received a total of $31,869 from 19 pharmaceutical and/or device companies across 134 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Setzen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
912 | $82 | $215 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
877 | $176 | $551 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
617 | $29 | $194 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
212 | $118 | $236 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
172 | $124 | $551 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
165 | $154 | $341 |
| Comprehensive hearing and speech recognition test A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech. |
146 | $33 | $131 |
| Impacted earwax removal by physician Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing. |
98 | $29 | $194 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
80 | $126 | $866 |
| Eardrum and muscle function test A diagnostic test used to evaluate the function of the eardrum and associated muscles. |
71 | $20 | $126 |
| Test to assess defects in adaptation to sounds A diagnostic test used to evaluate how well the auditory system adapts to sounds. It assesses specific defects in sound adaptation processes. |
71 | $32 | $58 |
| Vocal cord movement assessment with endoscope This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function. |
69 | $192 | $1,129 |
| Voice and resonance analysis Evaluation of how voice and resonance are produced. This procedure assesses the mechanics of sound generation without specifying a clinical purpose. |
66 | $99 | $373 |
| Middle ear function test A diagnostic test used to evaluate how well the middle ear is functioning. |
50 | $15 | $68 |
| Swallowing evaluation using endoscope This procedure involves evaluating, recording, and interpreting the swallowing process by using an endoscope to visualize the throat and esophagus. |
37 | $33 | $194 |
| Swallowing function evaluation An assessment to evaluate how well a patient can swallow. This procedure examines the mechanics and safety of the swallowing process. |
36 | $75 | $262 |
| Swallowing evaluation using an endoscope This procedure involves using an endoscope to visually evaluate and record the swallowing process. |
34 | $183 | $919 |
| Nasal growth removal or destruction This procedure involves the removal or destruction of a growth located in the nose using an approach through the nostrils. |
23 | $548 | $2,772 |
| Comprehensive hearing test A complete evaluation of hearing ability to assess how well a person can hear sounds across different frequencies and volumes. |
21 | $29 | $178 |
| Destruction of nasal passage soft tissue A procedure to destroy abnormal or excess soft tissue within the nasal passages. |
12 | $107 | $1,410 |
| Nasal valve repair A surgical procedure to correct a collapsed nasal valve, which is the narrowest part of the nasal airway. The surgery aims to widen the nasal passage to improve breathing. |
11 | $2,432 | $3,500 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2018-2024) ›
Associated products mentioned in payments ›
The majority of payments (74%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 7% for optician in NY.
Geographic Context
2.3 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Setzen is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NY), with consulting-driven industry engagement in the top 7% of NY peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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