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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNalini Sehgal
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    Nalini Sehgal — Billing Profile & Reimbursement Data

    NPI 1285698837 · Madison, WI · Physical Medicine & Rehabilitation Physician

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    Nalini Sehgal is a physical medicine & rehabilitation physician provider located in Madison, Wisconsin. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNalini Sehgal
    Address5249 E Terrace Dr
    CityMadison
    StateWI
    ZIP53718
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$44.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$60$8.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…50$90$4.3K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…50$90$4.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).40$80$3.3K
    64479This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).40$90$3.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$200$3K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…50$50$2.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$120$2.1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…30$70$2.1K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…10$180$1.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6463511513030$320$12.3K
    644838217040$160$9.8K
    992147,8149,80080$70$9.2K
    64633323020$350$8.4K
    644935615040$150$7.9K
    6232312316040$120$7.3K
    992329043,49060$60$7.2K
    992153,0073,32030$110$6.3K
    6449095030$180$6.1K
    6447921030$170$4.6K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nalini Sehgal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    University Of Wisconsin Medical Foundation, IncWIMulti-Specialty Clinic/Center$0$15.2M
    Wisconsin Sleep, IncWISleep Disorder Diagnostic Clinic/Center$146.7K$507.4K
    Scott AndersonWIOrthopaedic Surgery Physician$150K$0
    Bethany AndersonWIRadiation Oncology Physician$128.8K$0
    Courtney HogendornWIPhysical Medicine & Rehabilitation Physician$122.3K$0
    John Michael KhalilWIDiagnostic Radiology Physician$77.5K$0
    Michael SuerWIPhysical Medicine & Rehabilitation Physician$68.1K$0
    James LeonardWIPhysical Medicine & Rehabilitation Physician$62.3K$0
    Clifford TribusWIOrthopaedic Surgery Physician$51K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milwaukee Health Services System, LLCWIMethadone Clinic$211.3K$10.9M
    Fresenius Kidney Care Madison, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.8M
    Evan WarnerWIOphthalmology Physician$279.5K$0
    Brian NickelWIOrthopaedic Surgery Physician$233.8K$0
    David HennessyWIOrthopaedic Surgery Physician$220.1K$0
    Gregory CooleyWIRadiation Oncology Physician$194.9K$0
    Brian GroganWISports Medicine (Orthopaedic Surgery) Physician$150.5K$0
    Fresenius Access Care Physicians Of Madison Asc LLCWIAmbulatory Surgical Clinic/Center$115.6K$0
    John FrangiskakisWICardiovascular Disease Physician$114.9K$0
    Rachel SullivanWIFamily Nurse Practitioner$110.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Nalini Sehgal — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin