Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

A James Segal MD PA Medeyeassociates

A James Segal MD PA Medeyeassociates was paid $394K by Medicaid between Feb 2018 and Dec 2024, across 31 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 21% of everything it billed.

33Billing provider infoA JAMES SEGAL MD PA MEDEYEASSOCIATES
SOUTH MIAMI, FL 33143
33aNPI1710907522assigned 07/21/2006
33bProvider typeOphthalmology Physician
28Total paid$394K
24GClaims20,592
24DCodes billed31
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#22 of 262
Median peer was paid$9K
This provider vs. median45×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018739$10K
20196,883$132K
20203,313$65K
20211,372$25K
20223,388$22K
20233,052$74K
2024incomplete1,845$66K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 21% 1,900 1,177 $82K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16% 1,044 821 $63K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 1,511 987 $57K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 1,133 794 $51K
92235 8.4% 1,683 1,233 $33K
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 6.7% 209 201 $26K
92015 Determination of refractive state 6.4% 342 335 $25K
92134 5.0% 3,516 2,474 $20K
76512 4.5% 5,142 1,822 $18K
92250 1.1% 411 335 $4K
V2025 Deluxe frame 1.1% 144 140 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 34 28 $3K
19 more codes
J9035 Injection, bevacizumab, 10 mg <1% 194 $3K
V2020 Frames, purchases <1% 59 $2K
76519 <1% 50 $2K
92226 <1% 889 $783.22
92020 <1% 835 $427.99
92083 <1% 414 $271.75
92133 <1% 383 $164.78
92225 <1% 170 $81.51
V2799 Vision item or service, miscellaneous <1% 96 $25.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 19 $0.00
J3490 Unclassified drugs 0% 12 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 21 $0.00
92273 0% 23 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 24 $0.00
92201 0% 150 $0.00
V2750 Anti-reflective coating, per lens 0% 15 $0.00
92202 0% 107 $0.00
V2760 Scratch resistant coating, per lens 0% 40 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 0% 22 $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.

From NPPES

Who's on the registration

Authorized officialCABRERA, BARBIE (ADMINISTRATOR)