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NPI 1720097165 · Beloit, WI · Dermatology Physician
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Paul Segal is a dermatology physician provider located in Beloit, Wisconsin. This profile covers 18 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Segal |
| Address | 1905 E. Huebbe Parkway |
| City | Beloit |
| State | WI |
| ZIP | 53511 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | August 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $192.2K |
| Medicaid | $830 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 17000 | The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion. | 1,990 | $40 | $71.5K |
| 99213 | The 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… | 1,030 | $40 | $45.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 950 | $20 | $21.9K |
| 11642 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips. | 70 | $120 | $8.4K |
| 17004 | The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. | 90 | $70 | $6.6K |
| 12032 | This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size. | 50 | $130 | $5.7K |
| 11102 | The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. | 320 | $20 | $5.4K |
| 11602 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs. | 60 | $80 | $4.9K |
| 17003 | In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through… | 4,860 | $1 | $4.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 150 | $30 | $4.4K |
Showing 1–10 of 18
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
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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 | $40 | $840 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,439 | 1,760 | 250 | $40 | $173.2K |
Other providers in the same ZIP code as Paul Segal, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Health Systems, Inc. | WI | Federally Qualified Health Center (FQHC) | $0 | $14.2M |
| Orthodontic Experts Of Wisconsin, LLC | WI | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $4.4M |
| School District Of Beloit | WI | Local Education Agency (LEA) | $0 | $2.8M |
| City Of Beloit | WI | Paramedic | $333.3K | $1.6M |
| Southern Wisconsin Emergency Associates Sc | WI | Emergency Medicine Physician | $0 | $1.7M |
| Orthomidwest Surgery Center Beloit, LLC | WI | Ambulatory Surgical Clinic/Center | $415.3K | $0 |
| Jennifer Taylor | WI | Nurse Practitioner | $185.9K | $39.7K |
| Walgreen Co | WI | Pharmacy | $138.3K | $55.6K |
| Eric Xanthopoulos | WI | Radiation Oncology Physician | $186K | $0 |
| Leonard Egbujiobi | WI | Cardiovascular Disease Physician | $176.5K | $0 |
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