Doctor profile · Federal record
Dr. Setu Patolia
Pulmonary Disease Physician (CMS: Critical Care (Intensivists)) · Critical Care Medicine (Internal Medicine) Physician · Internal Medicine Physician · Saint Louis, MO
- NPI 1649418104
- Accepts Medicare
- MIPS 79.1 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3660 Vista Ave Ste 202
Saint Louis, MO 631102540
(314) 577-8000 - Additional location
-
1225 S Grand Blvd
Saint Louis, MO 631041016
(314) 977-6190
Credentials & registration
- NPI registered
- January 2009 — 17 yrs on file
- Profile last updated
- June 18, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Missouri #2013002818
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649418104. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
418
Distinct HCPCS
10
Medicare allowed
$36,558
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 138 | 68 | $78 | |
99291 |
Critical care, first 30-74 minutes | 54 | 18 | $210 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 52 | 22 | $117 | |
94729 |
Test to examine how well the lungs exchange gases | 30 | 30 | $9 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 29 | 29 | $10 | |
94726 |
Test to determine lung volumes using sensors | 28 | 28 | $12 | |
94618 |
Test for exercise-induced lung stress | 22 | 22 | $22 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 17 | $86 | |
32555 |
Aspiration of fluid from chest cavity using imaging guidance | 17 | 17 | $107 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $128 |
In context: peer comparison
Among 40 peers in this city , average services per provider: 94. This provider delivers 4.4× the peer median.Open Payments
Industry payments received
All-time total
$9,293
Transactions
21
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 21 | $9,293.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
385
Patients
14
Total drug cost
$128,261
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Montelukast Sodium | Generic | 49 | 0 | $812 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 44 | 14 | $1,048 |
| Fluticasone Propionate | Generic | 39 | 0 | $1,096 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 38 | 0 | $27,044 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 31 | 0 | $34,150 |
| Prednisone | Generic | 29 | 0 | $165 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 28 | 0 | $14,439 |
| Spiriva Handihaler (Tiotropium Bromide) | Brand | 26 | 0 | $17,398 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 24 | 0 | $1,719 |
| Flovent Hfa (Fluticasone Propionate) | Brand | 16 | 0 | $6,906 |
Hospital affiliations
Frequently asked questions
What is Dr. Setu Patolia's medical specialty?
Dr. Setu Patolia practices Pulmonary Disease Physician in Saint Louis, MO.
Where does Dr. Setu Patolia practice?
Dr. Setu Patolia practices at 3660 Vista Ave Ste 202, Saint Louis, MO 631102540. Office phone: 3145778000.
What is Dr. Setu Patolia's NPI?
Dr. Setu Patolia's National Provider Identifier (NPI) is 1649418104, issued by NPPES.
Does Dr. Setu Patolia accept Medicare assignment?
Yes. Dr. Setu Patolia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Setu Patolia commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.