Physician

Leigh Segal, M.D.

According to 2025 Medicare claims, Leigh Segal, M.D. (NPI: 1679593644) practices rheumatology in the Trenton-Princeton, NJ market, with the plurality of this provider's patient population coming from Mercer, NJ. This provider's primary affiliated billing organization is CAPITAL HEALTH MEDICAL GROUP (NPI: 1437516887; TIN: 810889110) and primary practice location at 08505-2275. Segal is affiliated with the Capital Health Accountable Care Organization, LLC (ACO ID: A2528), participating under the MSSP model.

Segal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 274 traditional Medicare patients, billed 15,436 HCPCS/CPT codes, and received $266,542 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,969 prescription claims across 313 beneficiaries totaling $2,836,001 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 1 records totaling $350. 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 $100,678 to $266,542. Similarly, Part D prescription costs have risen steadily, from $846,086 to $2,836,001. 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.

Year	Patients	Clm Lines	Payment
2015	346	4,084	$100,678
2016	408	11,944	$175,197
2017	334	11,451	$169,175
2018	327	10,272	$179,837
2019	278	9,262	$168,157
2020	254	7,135	$139,286
2021	247	12,007	$191,912
2022	236	12,056	$181,726
2023	236	12,921	$210,441
2024	274	15,436	$266,542

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	257	1,618	$846,086
2016	289	1,831	$1,219,314
2017	286	1,877	$1,447,786
2018	281	1,857	$1,867,380
2019	277	1,830	$1,779,685
2020	287	1,917	$1,856,426
2021	273	1,537	$1,655,944
2022	247	1,346	$1,792,160
2023	286	1,556	$2,337,916
2024	313	1,969	$2,836,001

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	410	$105
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	63	88	$72
J0897	Injection, denosumab, 1 mg	80	8,521	$20
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	152	243	$14
96372	Injection of drug or substance under skin or into muscle	83	183	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	75	2,156	$577,649
Enbrel	Etanercept	73	2,128	$565,040
Orencia Clickject	Abatacept	43	1,204	$245,307
Simponi	Golimumab	29	1,326	$196,822
Xeljanz Xr	Tofacitinib Citrate	28	840	$150,725

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$350	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

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

Tedicare shows public-source Medicare data for Leigh Segal, M.D. (NPI 1679593644), 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 Leigh Segal, M.D. have ACO affiliation data?

Leigh Segal, M.D. is shown with ACO affiliation data for Capital Health Accountable Care Organization, LLC (MSSP, ACO ID A2528).

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

Leigh Segal, M.D. is linked to CAPITAL HEALTH MEDICAL GROUP (billing NPI 1437516887) in the available physician profile data.

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

Leigh Segal, M.D. has 1 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.