Physician

Seth M Kantor, M.D.

According to 2025 Medicare claims, Seth Kantor, M.D. (NPI: 1104833656) practices rheumatology in the Columbus, OH market, with the plurality of this provider's patient population coming from Franklin, OH. This provider's primary affiliated billing organization is OHIOHEALTH CORPORATION (NPI: 1578545273; TIN: 311351965) and primary practice location at 43215-4601. Kantor is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Kantor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,057 traditional Medicare patients, billed 202,527 HCPCS/CPT codes, and received $2,234,729 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 208 prescription claims across 47 beneficiaries totaling $151,370 in drug costs, led by Teriparatide (Teriparatide). 2021 DME data shows 26 claims. Open Payments data shows 57 records totaling $7,790. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $323,518 to $2,234,729. In contrast, Part D prescription costs have fallen sharply in recent years, from $1,734,867 to $151,370. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	461	23,211	$323,518
2016	605	35,407	$502,702
2017	633	44,681	$651,603
2018	703	49,627	$754,712
2019	702	41,462	$652,253
2020	777	105,115	$1,207,362
2021	870	195,931	$1,895,438
2022	942	182,259	$1,750,205
2023	1,025	155,305	$1,750,115
2024	1,057	202,527	$2,234,729

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	429	2,735	$1,734,867
2016	369	2,123	$1,486,085
2017	269	1,594	$1,168,042
2018	241	1,323	$1,105,239
2019	190	803	$886,067
2020	137	614	$866,158
2021	128	482	$463,488
2022	109	392	$307,421
2023	78	293	$122,295
2024	47	208	$151,370

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	17	17	$13,516
2021	26	26	$13,930
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	504	$94
77080	Dxa bone density measurement of hip, pelvis, spine	752	752	$37
J0897	Injection, denosumab, 1 mg	483	33,780	$20
96372	Injection of drug or substance under skin or into muscle	622	1,352	$11
36415	Insertion of needle into vein for collection of blood sample	377	397	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Teriparatide	Teriparatide	28	784	$62,851
Forteo	Teriparatide	14	432	$61,928
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	41	2,506	$1,249
Alendronate Sodium	Alendronate Sodium	43	2,548	$305

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	57	$7,790	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Seth M. Kantor, M.D.?

Tedicare shows public-source Medicare data for Seth M. Kantor, M.D. (NPI 1104833656), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Seth M. Kantor, M.D. have ACO affiliation data?

Seth M. Kantor, M.D. is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Seth M. Kantor, M.D.?

Seth M. Kantor, M.D. is linked to OHIOHEALTH CORPORATION (billing NPI 1578545273) in the available physician profile data.

Does Seth M. Kantor, M.D. have Open Payments data?

Seth M. Kantor, M.D. has 57 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.