Total Payments
$183,982
2024 Payments
$66,502
Companies
41
Transactions
412
Medicare Patients
4,685
Medicare Billing
$580,327
Payment Breakdown by Category
Consulting$153,398 (83.4%)
Travel$14,961 (8.1%)
Food & Beverage$9,813 (5.3%)
Research$5,810 (3.2%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $153,398 | 35 | 83.4% |
| Travel and Lodging | $14,961 | 42 | 8.1% |
| Food and Beverage | $9,813 | 334 | 5.3% |
| Unspecified | $5,810 | 1 | 3.2% |
Payments by Type
General
$178,172
411 transactions
Research
$5,810
1 transactions
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Stryker Corporation | $137,107 | 115 | $0 (2024) |
| AERIN MEDICAL INC. | $13,860 | 2 | $0 (2024) |
| Smith+Nephew, Inc. | $12,649 | 13 | $0 (2024) |
| Neurent Medical Limited | $8,109 | 5 | $0 (2024) |
| Spirox Inc | $5,810 | 1 | $0 (2017) |
| Intersect ENT, Inc. | $725.51 | 12 | $0 (2021) |
| JAZZ PHARMACEUTICALS INC. | $599.30 | 36 | $0 (2022) |
| Acclarent, Inc | $585.80 | 8 | $0 (2019) |
| GlaxoSmithKline, LLC. | $424.69 | 19 | $0 (2024) |
| Regeneron Healthcare Solutions, Inc. | $373.70 | 22 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $66,502 | 44 | Stryker Corporation ($31,762) |
| 2023 | $2,651 | 26 | Stryker Corporation ($2,200) |
| 2022 | $64,926 | 68 | Stryker Corporation ($64,112) |
| 2021 | $1,691 | 35 | Stryker Corporation ($1,223) |
| 2020 | $8,730 | 33 | Stryker Corporation ($7,992) |
| 2019 | $29,139 | 91 | Stryker Corporation ($27,664) |
| 2018 | $3,341 | 70 | Stryker Corporation ($2,154) |
| 2017 | $7,000 | 45 | Spirox Inc ($5,810) |
All Payment Transactions
412 individual payment records from CMS Open Payments — Page 1 of 17
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/14/2024 | AERIN MEDICAL INC. | VIVAER STYLUS (Device) | Consulting Fee | Cash or cash equivalent | $3,840.00 | General |
| Category: EAR NOSE & THROAT | ||||||
| 12/12/2024 | Smith+Nephew, Inc. | — | Travel and Lodging | Cash or cash equivalent | $28.00 | General |
| 12/12/2024 | Smith+Nephew, Inc. | — | Food and Beverage | Cash or cash equivalent | $6.47 | General |
| 12/11/2024 | Smith+Nephew, Inc. | — | Consulting Fee | Cash or cash equivalent | $10,637.50 | General |
| 12/09/2024 | Avadel CNS Pharmaceuticals, LLC | LUMRYZ (Drug) | Food and Beverage | In-kind items and services | $13.15 | General |
| Category: CENTRAL NERVOUS SYSTEM CNS NEUROLOGY | ||||||
| 12/03/2024 | Avadel CNS Pharmaceuticals, LLC | LUMRYZ (Drug) | Food and Beverage | In-kind items and services | $14.76 | General |
| Category: CENTRAL NERVOUS SYSTEM CNS NEUROLOGY | ||||||
| 11/29/2024 | Stryker Corporation | — | Consulting Fee | Cash or cash equivalent | $1,100.00 | General |
| 11/22/2024 | Smith+Nephew, Inc. | — | Travel and Lodging | In-kind items and services | $546.90 | General |
| 11/22/2024 | Smith+Nephew, Inc. | — | Food and Beverage | In-kind items and services | $32.31 | General |
| 11/22/2024 | Smith+Nephew, Inc. | — | Food and Beverage | In-kind items and services | $15.86 | General |
| 11/22/2024 | Smith+Nephew, Inc. | — | Food and Beverage | In-kind items and services | $13.08 | General |
| 11/21/2024 | Smith+Nephew, Inc. | — | Travel and Lodging | In-kind items and services | $786.74 | General |
| 11/21/2024 | Smith+Nephew, Inc. | — | Food and Beverage | In-kind items and services | $116.91 | General |
| 11/21/2024 | Smith+Nephew, Inc. | — | Food and Beverage | In-kind items and services | $4.88 | General |
| 11/20/2024 | Smith+Nephew, Inc. | — | Travel and Lodging | In-kind items and services | $285.03 | General |
| 11/20/2024 | Optinose US, Inc. | Xhance (Drug) | Food and Beverage | In-kind items and services | $24.75 | General |
| Category: Otolaryngology (Ear, Nose, Throat) | ||||||
| 10/24/2024 | Harmony Biosciences Llc | WAKIX (Drug) | Food and Beverage | Cash or cash equivalent | $32.71 | General |
| Category: Narcoplepsy | ||||||
| 10/20/2024 | AERIN MEDICAL INC. | VIVAER STYLUS (Device) | Consulting Fee | Cash or cash equivalent | $10,020.00 | General |
| Category: EAR NOSE & THROAT | ||||||
| 09/26/2024 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $24.40 | General |
| Category: RESPIRATORY | ||||||
| 09/25/2024 | Stryker Corporation | XPRESS LOPROFILE (Device) | Food and Beverage | In-kind items and services | $159.11 | General |
| Category: ENTELLUS | ||||||
| 09/12/2024 | Stryker Corporation | SCOPIS ENT (Device) | Consulting Fee | Cash or cash equivalent | $14,850.00 | General |
| Category: INSTRUMENTS | ||||||
| 09/12/2024 | Stryker Corporation | NA (Device) | Consulting Fee | Cash or cash equivalent | $4,400.00 | General |
| Category: NEURO | ||||||
| 09/12/2024 | Stryker Corporation | NA (Device) | Consulting Fee | Cash or cash equivalent | $2,750.00 | General |
| Category: NEURO | ||||||
| 08/05/2024 | Stryker Corporation | SCOPIS ENT (Device) | Travel and Lodging | Cash or cash equivalent | $238.33 | General |
| Category: INSTRUMENTS | ||||||
| 08/02/2024 | Stryker Corporation | SCOPIS ENT (Device) | Travel and Lodging | Cash or cash equivalent | $371.42 | General |
| Category: INSTRUMENTS | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| SpiroxLatera Implant Support of Lateral Nasal Wall Cartilage LATERAL-OFFICE Study | Spirox Inc | $5,810 | 1 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 1,115 | 8,560 | $441,255 | $156,811 |
| 2022 | 15 | 1,311 | 8,257 | $503,474 | $181,398 |
| 2021 | 12 | 1,179 | 5,743 | $405,164 | $145,954 |
| 2020 | 15 | 1,080 | 4,876 | $309,559 | $96,166 |
Total Patients
4,685
Total Services
27,436
Medicare Billing
$580,327
Procedure Codes
54
All Medicare Procedures & Services
54 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 429 | 543 | $122,175 | $50,772 | 41.6% |
| 95165 | Professional service for preparation and provision of 1 or more antigens | Office | 2023 | 82 | 3,293 | $85,618 | $35,255 | 41.2% |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | Office | 2023 | 173 | 216 | $75,600 | $20,144 | 26.6% |
| 31231 | Diagnostic exam of nasal passages using an endoscope | Office | 2023 | 109 | 128 | $51,200 | $17,232 | 33.7% |
| 95117 | Professional service for multiple injections of allergen | Office | 2023 | 75 | 1,342 | $36,219 | $10,872 | 30.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 84 | 84 | $23,100 | $9,789 | 42.4% |
| 95024 | Test for allergy using allergenic extract injected into skin | Office | 2023 | 25 | 606 | $8,484 | $3,665 | 43.2% |
| 95004 | Test for allergy using allergenic extract | Office | 2023 | 25 | 1,163 | $13,956 | $3,269 | 23.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 40 | 41 | $7,175 | $2,697 | 37.6% |
| 70486 | Ct scan of face without contrast | Office | 2023 | 24 | 24 | $12,000 | $1,648 | 13.7% |
| 69210 | Removal of impacted ear wax | Office | 2023 | 36 | 40 | $5,350 | $1,354 | 25.3% |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | Office | 2023 | 13 | 1,080 | $378.00 | $114.53 | 30.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 434 | 545 | $122,625 | $51,331 | 41.9% |
| 95165 | Professional service for preparation and provision of 1 or more antigens | Office | 2022 | 73 | 3,149 | $82,134 | $35,471 | 43.2% |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | Office | 2022 | 177 | 226 | $79,100 | $20,914 | 26.4% |
| 31231 | Diagnostic exam of nasal passages using an endoscope | Office | 2022 | 127 | 143 | $57,200 | $19,299 | 33.7% |
| 95117 | Professional service for multiple injections of allergen | Office | 2022 | 74 | 1,446 | $39,042 | $11,987 | 30.7% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 100 | 100 | $27,500 | $11,634 | 42.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 108 | 123 | $21,525 | $7,342 | 34.1% |
| 95024 | Test for allergy using allergenic extract injected into skin | Office | 2022 | 33 | 793 | $11,102 | $5,163 | 46.5% |
| 77011 | Ct guidance for needle or tube localization | Office | 2022 | 28 | 30 | $15,150 | $4,760 | 31.4% |
| 95004 | Test for allergy using allergenic extract | Office | 2022 | 33 | 1,558 | $18,696 | $4,412 | 23.6% |
| 69210 | Removal of impacted ear wax | Office | 2022 | 72 | 91 | $11,250 | $2,798 | 24.9% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 19 | 20 | $5,500 | $2,730 | 49.6% |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | Office | 2022 | 11 | 11 | $4,950 | $1,729 | 34.9% |
About Dr. Gavin Setzen, MD
Dr. Gavin Setzen, MD is a Facial Plastic Surgery healthcare provider based in Albany, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/03/2005. The National Provider Identifier (NPI) number assigned to this provider is 1063419232.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Gavin Setzen, MD has received a total of $183,982 in payments from pharmaceutical and medical device companies, with $66,502 received in 2024. These payments were reported across 412 transactions from 41 companies. The most common payment nature is "Consulting Fee" ($153,398).
As a Medicare-enrolled provider, Setzen has provided services to 4,685 Medicare beneficiaries, totaling 27,436 services with total Medicare billing of $580,327. Data is available for 4 years (2020–2023), covering 54 distinct procedure/service records.
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Practice Information
- Specialty Facial Plastic Surgery
- Other Specialties Otolaryngology
- Location Albany, NY
- Active Since 07/03/2005
- Last Updated 10/03/2019
- Taxonomy Code 207YS0123X
- Entity Type Individual
- NPI Number 1063419232
Products in Payments
- CLARIFIX CRYOTHERAPY DEVICE (Device) $50,819
- ENTELLUS - XPRESS ENT DILATION SYSTEM (Device) $37,358
- SCOPIS ENT (Device) $17,138
- LATERA (Device) $15,500
- VIVAER STYLUS (Device) $13,860
- NEUROMARK Device (Device) $8,109
- NA (Device) $7,150
- Latera (Device) $5,810
- XPRESS ENT DILATION SYSTEM (Device) $4,607
- XPRESS LOPROFILE (Device) $1,234
- SHAVER SYSTEM (Device) $750.00
- PROPEL (Device) $696.59
- DUPIXENT (Biological) $628.46
- ENTELLUS MEDICAL FOCESS SINUSCOPE (Device) $500.00
- N/A (Device) $500.00
- CUVITRU (Biological) $318.46
- Xyrem (Drug) $304.83
- Xhance (Drug) $295.20
- Hizentra (Biological) $294.21
- MAKO (Device) $247.07
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.