Physician

Stuart Segal, M.D.

According to 2025 Medicare claims, Stuart Segal, M.D. (NPI: 1508879354) practices rheumatology in the Santa Maria-Santa Barbara, CA market, with the plurality of this provider's patient population coming from Santa Barbara, CA. This provider's primary affiliated billing organization is SANSUM CLINIC (NPI: 1932121514; TIN: 956419205) and primary practice location at 93110-1416. Segal is affiliated with the Aledade A3299 CA MSSP Enhanced (ACO ID: A3299) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Segal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 971 traditional Medicare patients, billed 100,147 HCPCS/CPT codes, and received $1,125,391 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,045 prescription claims across 400 beneficiaries totaling $2,631,935 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 107 records totaling $19,361. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $624,046 to $1,125,391. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $763,044 to $2,631,935. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$563K$1.1M2015 Medicare payment: $624,046 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $649,481 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $790,202 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $884,017 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $872,846 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $797,418 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $881,519 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,000,073 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $936,064 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,125,391 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201563051,181$624,046
201660053,311$649,481
201766259,100$790,202
201875352,985$884,017
201963955,831$872,846
202063149,444$797,418
202176663,102$881,519
202271690,312$1,000,073
202380780,415$936,064
2024971100,147$1,125,391

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.3M$2.6M2015 Drug cost: $763,044 (USD; Tot_Drug_Cst)2016 Drug cost: $678,951 (USD; Tot_Drug_Cst)2017 Drug cost: $753,278 (USD; Tot_Drug_Cst)2018 Drug cost: $956,561 (USD; Tot_Drug_Cst)2019 Drug cost: $1,448,307 (USD; Tot_Drug_Cst)2020 Drug cost: $1,842,409 (USD; Tot_Drug_Cst)2021 Drug cost: $1,968,368 (USD; Tot_Drug_Cst)2022 Drug cost: $2,305,218 (USD; Tot_Drug_Cst)2023 Drug cost: $2,308,196 (USD; Tot_Drug_Cst)2024 Drug cost: $2,631,935 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153101,947$763,044
20162991,725$678,951
20173051,672$753,278
20183291,858$956,561
20193091,850$1,448,307
20203221,958$1,842,409
20213271,872$1,968,368
20223932,016$2,305,218
20233481,826$2,308,196
20244002,045$2,631,935

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more9898$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more493939$97
77080Dxa bone density measurement of hip, pelvis, spine369371$21
J0897Injection, denosumab, 1 mg26726,160$21
96372Injection of drug or substance under skin or into muscle294764$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab752,688$641,831
RinvoqUpadacitinib883,030$641,687
Xeljanz XrTofacitinib Citrate421,560$292,562
OtezlaApremilast241,260$193,737
Taltz AutoinjectorIxekizumab13364$90,643

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.107$19,361ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Stuart Segal, M.D.?

Tedicare shows public-source Medicare data for Stuart Segal, M.D. (NPI 1508879354), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Stuart Segal, M.D. have ACO affiliation data?

Stuart Segal, M.D. is shown with ACO affiliation data for Aledade A3299 CA MSSP Enhanced (MSSP, ACO ID A3299) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Stuart Segal, M.D.?

Stuart Segal, M.D. is linked to SANSUM CLINIC (billing NPI 1932121514) in the available physician profile data.

Does Stuart Segal, M.D. have Open Payments data?

Stuart Segal, M.D. has 107 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.