Dr. Shannon Setzer, MD
4515 Valley Commons DR Ste 202, Bozeman, MT 59718 • +1-894-555-3791
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Bozeman Percentiles
NPI #1639355928 • CBSA Regional • Dermatology
Dr. Shannon Setzer, MD (NPI #1639355928) practices Dermatology in Bozeman, MT (59718) with sub-specialty concentration in 71 Active CMS HCPCS Codes, recording 5,220 annual CMS services across 828 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (44.44th Bozeman percentile) (-0.02σ vs MT state mean, 58.33th statewide percentile).
Fee-schedule auditing of NPI 1639355928 highlights 1757 annual claims for 17000 (44.44th Bozeman percentile; $140–$192 self-pay corridor) plus 1602 encounters under 99213 and 982 under 11102.
Direct cash-pay transparency modeling sets Dr. Setzer's baseline new-consult rate near $209.00 in Bozeman, MT (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
NPI registry verification (#1639355928) confirms Dr. Shannon Setzer's MD standing serving CBSA 59718 with a 4.54/5 patient scorecard.
Compared against Bozeman, MT Dermatology peers
5,220 annual services across 828 beneficiaries
Standard deviations from MT Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 1,757 | 44.44th | $140 – $192 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,602 | 44.44th | $156 – $214 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 982 | 46.44th | $206 – $282 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 517 | 40.44th | $288 – $395 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 310 | 40.44th | $222 – $305 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (71 HCPCS billing breadth) | 53 | 44.44th | $171 – $248 |
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Dr. Shannon Setzer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Setzer National Provider Identifier | NPI #1639355928 (MD) | CMS NPPES Registry (59718) |
| Dr. Setzer Bozeman CMS Volume Rank | 44.44th Pct (5,220 CMS svcs; Z -0.022σ) | CMS Medicare Part B (MT Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bozeman, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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