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    OpenPayerNPI Medicare & MedicaidKonstantinos Segkos
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    Konstantinos Segkos — Billing Profile & Reimbursement Data

    NPI 1700131844 · Lehi, UT · Endocrinology, Diabetes & Metabolism Physician

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    Konstantinos Segkos is a endocrinology, diabetes & metabolism physician provider located in Lehi, Utah. This profile covers 6 Medicare and 4 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
    OrganizationKonstantinos Segkos
    Address2135 W Main St Ste B107
    CityLehi
    StateUT
    ZIP84043
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJuly 16, 2012

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

    Payer SourceTotal Paid
    Medicaid$50.3K
    Medicare$37.1K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…180$90$15.9K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.150$80$11.5K
    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…40$120$4.9K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…30$100$3.3K
    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…20$60$860
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.90$10$680

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0154,08080$80$11.6K
    992133,4023,68060$50$6.4K
    992045231,79030$100$4.1K
    1000552020$80$1.8K
    3641533587050$10$1.6K
    7653629030$40$1.5K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…570$80$46.3K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.330$10$1.9K
    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…20$90$1.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.100$1$200

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.159240220$50$145.2K
    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…4411,340200$80$144K
    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…21127080$100$41.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.520210$50$12.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan StephensonUTOtolaryngology Physician$71.7K$0
    David DarleyUTOtology & Neurotology Physician$49.5K$4.5K
    Seth RiddleUTOtolaryngology Physician$44.5K$1.4K
    Scott ShipleyUTOtolaryngology Physician$34.4K$4.1K
    Kirt BeusUTOtolaryngology Physician$28.6K$6.9K
    Shahzad AhmadUTEndocrinology, Diabetes & Metabolism Physician$35.1K$0
    Zachary AndersonUTOtolaryngology Physician$27.5K$5.3K
    Jeffrey NelsonNDOtolaryngology Physician$23.5K$0
    Jenny CoyUTNurse Practitioner$16.5K$0
    Todd FriezeNCEndocrinology, Diabetes & Metabolism Physician$15.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain West Anesthesia LLCUTAnesthesiology Physician$0$7.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$5.6M
    Lehi City Municipal CorporationUTAmbulance$129.1K$1.8M
    Post Acute Rehabilitation Physicians LLCUTPhysical Medicine & Rehabilitation Physician$0$1.7M
    Covington Senior Living Of LehiUTAssisted Living Facility$0$667.2K
    Alpine Pain & Spinal Rehabilitation IncUTInterventional Pain Medicine Physician$0$645.9K
    Troy HardyUTPediatric Dentistry$0$460.7K
    James MacdonaldUTDermatology Physician$415.3K$26.5K
    Ryan BurtUTPediatric Dentistry$0$369.7K
    David SmithUTInternal Medicine Physician$355.8K$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. Utah Distribution
    Konstantinos Segkos — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Konstantinos Segkos — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah