Segal, Michele

Segal, Michele was paid $133K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSEGAL, MICHELE
NUTLEY, NJ 07110

33aNPI1316084189assigned 01/31/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$133K

24GClaims3,069

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New Jersey

Rank by total paid#32 of 56

Median peer was paid$178K

This provider vs. median0.7×

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	592	$28K
2019	535	$27K
2020	331	$11K
2021	273	$11K
2022	499	$22K
2023	501	$21K
2024incomplete	338	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	1,751	1,545	$82K
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	26%	529	481	$35K
90460	Immunization administration through 18 years of age via any route, first or only component	6.0%	459	451	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	41	41	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	61	61	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	25	25	$2K
92551		1.2%	191	190	$2K
99000		0%	12	12	$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.