Dr. Seth A Kaplan

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Seth A Kaplan
Gender:	M
Provider License Number If Given:	39628

NPI Information:

NPI:	1518968775
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/9/2005
Last Update Date:	8/14/2012
Reputation Report:

Provider Business Mailing Address:

Address:	3100 BLUE RIDGE RD SUITE 300 Raleigh, NC 27612
Phone Number:	9197817500
Fax Number:	9198828822

Provider Business Practice Location Address:

Address:	3100 BLUE RIDGE RD SUITE 300 Raleigh, NC 27612
Phone Number:	9197817500
Fax Number:	9198828822

Provider Taxonomy:

Primary:	207RG0100X
Secondary (if any):
State:	NC

Top Doctors in NC

About Dr. Seth A Kaplan

Dr. Seth A Kaplan (DR. SETH A KAPLAN ) is An Internal Medicine Physician in Raleigh, NC. The NPI Number for Dr. Seth A Kaplan is 1518968775.

The current location address for Dr. Seth A Kaplan is 3100 BLUE RIDGE RD SUITE 300 Raleigh, NC 27612 and the contact number is 9197817500 and fax number is 9198828822. The mailing address for Dr. Seth A Kaplan is 3100 BLUE RIDGE RD SUITE 300 Raleigh, NC 27612- 9197817500 (mailing address contact number - 9197817500).

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Seth A Kaplan ?

Answer: The NPI Number for Dr. Seth A Kaplan is 1518968775

Where is Dr. Seth A Kaplan located?

Answer: Dr. Seth A Kaplan is located at 3100 BLUE RIDGE RD SUITE 300 Raleigh, NC 27612.

What is the specialty for Dr. Seth A Kaplan ?

Answer: The Specialty of Dr. Seth A Kaplan is An Internal Medicine Physician.

Are there any online reviews for Dr. Seth A Kaplan ?

Answer: Yes! Check It Now.

Are there any other health care providers in Raleigh, NC?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Seth A Kaplan

Number of HCPCS	67
Number of Medicare Beneficiaries	382
Number of Services	11054
Total Submitted Charge Amount	500642.41
Total Medicare Allowed Amount	325750.48
Total Medicare Payment Amount	255616.42
Total Medicare Standardized Payment Amount	261339.25
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	6
Number of Medicare Beneficiaries With Drug Services	16
Number of Drug Services	9048
Total Drug Submitted Charge Amount	291620
Total Drug Medicare Allowed Amount	167372.29
Total Drug Medicare Payment Amount	133804.68
Total Drug Medicare Standardized Payment Amount	131128.59
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	61
Number of Medicare Beneficiaries With Medical	382
Number of Medical Services	2006
Total Medical Submitted Charge Amount	209022.41
Total Medical Medicare Allowed Amount	158378.19
Total Medical Medicare Payment Amount	121811.74
Total Medical Medicare Standardized Payment Amount	130210.66
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	15
Number of Beneficiaries Age 65 to 74	243
Number of Beneficiaries Age 75 to 84	96
Number of Beneficiaries Age Greater 84	28
Number of Female Beneficiaries	191
Number of Male Beneficiaries	191
Number of Non-Hispanic White Beneficiaries	331
Number of Black or African American Beneficiaries	22
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.04
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.07
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.17
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.06
Percent (%) of Beneficiaries Identified With Depression	0.13
Percent (%) of Beneficiaries Identified With Diabetes	0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.58
Percent (%) of Beneficiaries Identified With Hypertension	0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.23
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.7441

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Gastroenterology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1150
Number of Standardized 30-Day Fills	1801.7666667
Aggregate Cost Paid for All Claims	618892.15
Number of Day's Supply for All Claims	45535
Number of Medicare Beneficiaries	335
Number of Claims, Including Refills, for Beneficiaries Age 65+	1062
Including Refills, for Beneficiaries Age 65+	1670.3666667
Beneficiaries Age 65+	573588.91
Number of Day's Supply for All Claims for Beneficaries Age 65+	42009
Number of Medicare Beneficiaries Age 65+	319
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	346
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	804
Aggregate Cost Paid for Generic Drugs	59101.09
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	500
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	89673.46
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	650
Aggregate Cost Paid for Claims Filled by	529218.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	82
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	47661.28
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1068
by Low-Income Subsidy	571230.87
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	124
Aggregate Cost Paid for Antibiotic Drugs	4297.32
Antibiotic Claims	65
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	72.313432836
Number of Beneficiaries Age Less Than 65	16
Number of Beneficiaries Age 65 to 74	208
Number of Beneficiaries Age 75 to 84	96
Number of Female Beneficiaries	177
Number of Male Beneficiaries	158
Number of Non-Hispanic White	291
Number of Black or African American	19
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	18
Only Entitlement
Average Hierarchical Condition Category	0.8131384983

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