Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bernard Segall (NPI 1265560148)

Field	Value
Entity Type	Individual
Organization	Bernard Segall
Address	2601 S Bayshore Dr
City	Coconut Grove
State	FL
ZIP	33133
Taxonomy	Prosthodontics
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicare	$42.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
21080	The provider fabricates an obturator prosthesis by taking an impression, or negative imprint, of the patient's oral cavity. A definitive obturator prosthesis replaces an interim obturator prosthesis…	30	$1,420	$42.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Bernard Segall — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
21080	1	10	20	$1,280	$28.1K

Nearby Providers

Other providers in the same ZIP code as Bernard Segall, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Plantation General Hospital LP	FL	General Acute Care Hospital	$0	$8.7M
Surgery Center Of Coral Gables LLC	FL	Ambulatory Surgical Clinic/Center	$735.8K	$126.2K
Victor Lopez De Mendoza	FL	Nephrology Physician	$566.9K	$0
Lissette Cortazar	FL	Psychiatry Physician	$531.4K	$0
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K
Carla Quispez-asin	FL	Internal Medicine Physician	$179.1K	$0
Vijaykumar Zaveri	FL	Otolaryngology Physician	$141.1K	$0
Ariel Grobman	FL	Otolaryngology Physician	$119.9K	$0
Lawrence Grobman	FL	Otology & Neurotology Physician	$99.8K	$0
Jose Rodriguez	FL	Diagnostic Radiology Physician	$75.8K	$0

Bernard Segall — Billing Profile & Reimbursement Data

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Bernard Segall — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References