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    OpenPayerNPI Medicare & MedicaidJuliet Seigle
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    Juliet Seigle — Billing Profile & Reimbursement Data

    NPI 1639297716 · Lihue, HI · Radiation Oncology Physician

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    Juliet Seigle is a radiation oncology physician provider located in Lihue, Hawaii. This profile covers 19 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
    OrganizationJuliet Seigle
    Address4388 Pahee St
    CityLihue
    StateHI
    ZIP96766
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMarch 27, 2007

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

    Payer SourceTotal Paid
    Medicare$419.3K
    Medicaid$0

    Key Findings

    This provider’s commercial footprint in public programs is effectively single‑payer: Total Medicare revenue is $419.3K while Medicaid revenue is none (no Medicaid billing on file), indicating no recorded Medicaid billing activity and a Medicare‑centric billing profile. That concentration will shape payer negotiations and population access assumptions, since Medicaid exposure appears absent from the record.

    Revenue is highly concentrated in a small set of radiation‑delivery and planning codes: the precomputed top 3 Medicare codes by revenue account for 60.2% of this provider’s total Medicare revenue. The three highest‑revenue codes driving that concentration are G6015 ($141.3K, 33.7%), G6011 ($77.1K, 18.4%), and 77301 ($34.3K, 8.2%), indicating most Medicare dollars stem from treatment delivery and IMRT planning services.

    The code mix points to a practice focused on external beam therapy and advanced planning workflows: heavy billing for G6015 and G6011 (delivery codes) combined with 77301 (IMRT) and planning/physics codes such as 77334 ($17.4K, 4.2%) and 77336 ($12.5K, 3.0%) suggests routine delivery of complex radiation therapy with associated dosimetry and device design services. These patterns are consistent with an active radiation oncology operation that performs both treatment delivery and in‑house treatment planning/physics.

    Competitive standing is mixed across specific services. G6011 ranks #3 of 13 nationally and is described as "typical, unremarkable volume for this code," signaling relatively high placement within a small cohort for that service; by contrast G6015 ranks #816 of 1429 (43th percentile; typical, unremarkable volume for this code) and 77301 ranks #2984 of 3815 (20th percentile; typical, unremarkable volume for this code), indicating a modest national presence overall but concentrated strength on a narrowly defined delivery code.

    Several image‑guidance and dosimetry codes are used at rates above broad national medians, reflecting procedural emphasis on localization and measurement: G6002 ($31.2K, 7.4%) ranks #455 of 2280 (80th percentile; typical, unremarkable volume for this code) and 77331 ($4.2K, 1.0%) ranks #49 of 267 (82th percentile; typical, unremarkable volume for this code). These placements suggest the provider frequently bills stereoscopic guidance and special dosimetry relative to many peers, reinforcing the operational profile of image‑guided, precision radiotherapy.

    The practice bills a full complement of planning and simulation services consistent with ongoing courses of therapy: codes such as 77280 ($10.9K, 2.6%), 77290 ($9.3K, 2.2%), 77295 ($8.5K, 2.0%), and 77338 ($10.5K, 2.5%) appear among the top producers, indicating routine use of simulation, 3D reconstruction, and MLC device planning in support of treatments. This pattern aligns with an integrated delivery model where planning and physics services are billed alongside treatment sessions.

    Tenure is long enough to indicate an established local presence: the NPI was enumerated 2007-03-27 (~19 years ago), which supports interpretation of the billing mix as the output of a stable, mature practice rather than a newly established operation. Longevity combined with concentrated Medicare revenue but no Medicaid billing suggests established referral and payer relationships skewed toward Medicare beneficiaries.

    Absence of Medicaid billing is a notable market signal: with Medicaid revenue listed as none (no Medicaid billing on file), the provider has no measurable Medicaid footprint in the available data. For analysts assessing network adequacy or Medicaid access in HI, this provider should be treated as effectively Medicare‑only in the claims record rather than a dual‑payer participant.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session430$330$141.3K
    G6011Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev360$220$77.1K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…20$1,630$34.3K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy470$70$31.2K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…160$160$24.3K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.160$110$17.4K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…280$60$15.7K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…160$80$12.5K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.50$240$10.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…30$400$10.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015610560$320$165K
    G6011110360$220$77.2K
    77301131030$660$25.6K
    77427720100$150$21.6K
    992141,2841,440100$80$15.2K
    G6002610480$30$14.1K
    77336510180$70$12.4K
    9921537138040$120$11.2K
    77338111030$210$10K
    77334720120$60$9.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hilo Benioff Medical CenterHIGeneral Acute Care Hospital$0$51.2M
    Hilo Benioff Medical CenterHIGeneral Acute Care Hospital$0$1.1M
    Nathaniel ValinFLCardiovascular Disease Physician$703.2K$0
    Edward EvansAZInterventional Cardiology Physician$486.8K$0
    Giselle Baquero CaranamaHIInterventional Cardiology Physician$349.8K$0
    Sanjeev RavipudiMOInterventional Cardiology Physician$348.8K$0
    Patrick JewellHIRadiation Oncology Physician$266.5K$0
    Jorge GonzalezMINeurology Physician$147K$114.2K
    Marvin ChangTXPain Medicine (Anesthesiology) Physician$228.9K$0
    Taurino AvelarNVNephrology Physician$218.6K$2.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilcox Memorial HospitalHIRural Acute Care Hospital$0$28M
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.7M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.5M
    Karin StollHIMental Health Counselor$52.7K$1.2M
    Kuhio Pediatric Dental LLCHIGeneral Practice Dentistry$0$925.9K
    Hawaiian Island Dental, Inc.HIGeneral Practice Dentistry$0$875.6K
    Hawaii Life Flight, LLCHIAir Ambulance$458.5K$370K
    Toothbuds Kauai, LLCHIDentist$0$803.9K
    Stephanie Skow Md IncHIPsychiatry Physician$0$545.8K

    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. Hawaii Distribution
    Juliet Seigle — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii