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    OpenPayerNPI Medicare & MedicaidAyal Segal
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    Ayal Segal — Billing Profile & Reimbursement Data

    NPI 1528191418 · Glen Cove, NY · Orthopaedic Surgery Physician

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    Ayal Segal is a orthopaedic surgery physician provider located in Glen Cove, New York. This profile covers 24 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAyal Segal
    Address101 St. Andrews Lane
    CityGlen Cove
    StateNY
    ZIP11542
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 13, 2007

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

    Payer SourceTotal Paid
    Medicare$655.1K
    Medicaid$330

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…160$1,280$206.9K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…140$1,270$178.4K
    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…500$110$55.4K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.810$40$35K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose80$410$30.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…390$80$29.6K
    99204The provider sees a new 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 provider…160$150$24K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…500$40$21.5K
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…10$1,740$20.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…300$60$19K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447748030$1,120$43.7K
    27130535030$1,120$40.3K
    J73262612040$400$22K
    2748771010$1,370$21.9K
    992142,94530,45090$100$19K
    992133,55331,44080$70$12.1K
    992154,2118,28040$140$10.1K
    206101581,87060$60$7K
    9920454014,17030$130$6.6K
    992053,8334,26030$180$6.4K

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$10$330

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.363440250$20$19.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sun River Health Inc.NYFederally Qualified Health Center (FQHC)$0$546.7M
    North Shore-lij Medical PCNYUrology Physician$0$388.1M
    Premium Health IncNYFederally Qualified Health Center (FQHC)$0$85.4M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Edward BennettNYInternal Medicine Physician$152.7K$6.7M
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Eric ShakinNYOphthalmology Physician$3.3M$291.7K
    Lynda PiboonNYObstetrics & Gynecology Physician$62.2K$3.1M
    Stuart WeinermanNYEndocrinology, Diabetes & Metabolism Physician$2.3M$2.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gerard VitaleNYSpecialist$1M$22.8K
    Thomas ManninoNYDiagnostic Radiology Physician$851.8K$0
    Debbie FelicianoNYFamily Medicine Physician$197.5K$642.8K
    Eugene RaberNYInternal Medicine Physician$479.8K$920
    Jonathan WessonNYOphthalmology Physician$414.9K$0
    Eric HochbergNYUrology Physician$316.3K$0
    Steven WeckNYDiagnostic Radiology Physician$206K$84.2K
    Farzin RahmanouNYCritical Care Medicine (Internal Medicine) Physician$286.1K$0
    Idel MoisaNYOtolaryngology Physician$263.9K$130
    Anthony GirardiNYOphthalmology Physician$231.7K$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. New York Distribution
    Ayal Segal — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Ayal Segal — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York