Segan, Scott

Segan, Scott was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99253, — 45% of everything it billed.

33Billing provider infoSEGAN, SCOTT
BRONX, NY 10457

33aNPI1073557245assigned 06/16/2006

33bProvider typeNeurology Physician

28Total paid$213K

24GClaims4,406

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#92 of 623

Median peer was paid$9K

This provider vs. median23×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	609	$30K
2019	728	$34K
2020	674	$35K
2021	757	$40K
2022	1,070	$44K
2023	258	$17K
2024incomplete	310	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99253		45%	1,412	1,395	$97K
99221		16%	837	827	$34K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	973	952	$29K
95816		10%	556	523	$22K
99222	Initial hospital care, per day, moderate complexity	5.7%	205	203	$12K
99254		2.6%	58	57	$5K
99441		1.8%	122	119	$4K
99255		1.5%	29	29	$3K
95819		1.3%	75	67	$3K
99223	Prolong inpt eval add15 m	<1%	20	20	$1K
95822		<1%	33	29	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	14	14	$678.50

3 more codes

99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	14	$253.16
1159F		0%	29	$0.00
1160F		0%	29	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.