Dr. Seth Kaplan, MD
462 1st Ave, Nbv 5e5, New York, NY 10016 • +1-937-555-2952
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1477787687 • CBSA 35620 • Otolaryngology
Operating out of New York, NY (462 1st Ave, Nbv 5e5), Otolaryngology clinician Dr. Seth Kaplan, MD (accredited MD/DO training, 2002) maintains a mid-cohort balanced caseload (62.39th New York percentile) (50.25th NY percentile; Z-score -0.28σ across 1,706 documented services) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1477787687 highlights 580 annual claims for 99213 (62.39th New York percentile; $263–$360 self-pay corridor) plus 427 encounters under 31231 and 324 under 31575.
Uninsured and high-deductible cash patients visiting Dr. Seth Kaplan in New York (10016) face an estimated $239.00 initial evaluation fee at 462 1st Ave, Nbv 5e5 (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.61/5 from 10 verified reports).
Patients evaluating Dr. Seth Kaplan in ZIP 10016 note 24 years of post-doctoral tenure (null, 2002) alongside 4.1 annual CMS procedures per patient.
Compared against New York, NY Otolaryngology peers
1,706 annual services across 412 beneficiaries
Standard deviations from NY Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 580 | 62.39th | $263 – $360 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 427 | 62.39th | $528 – $724 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 324 | 62.39th | $385 – $528 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 222 | 67.39th | $186 – $254 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 154 | 66.39th | $166 – $227 |
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Dr. Seth Kaplan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kaplan National Provider Identifier | NPI #1477787687 (MD) | CMS NPPES Registry (10016) |
| Dr. Kaplan New York CMS Volume Rank | 62.39th Pct (1,706 CMS svcs; Z -0.285σ) | CMS Medicare Part B (NY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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