Physician

Paul M Segal, MD

According to 2025 Medicare claims, Paul Segal, MD (NPI: 1720097165) practices dermatology in the Janesville-Beloit, WI market, with the plurality of this provider's patient population coming from Rock, WI. This provider's primary affiliated billing organization is BELOIT HEALTH SYSTEM INC (NPI: 1679616361; TIN: 391028081) and primary practice location at 53511-1842.

Segal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,507 traditional Medicare patients, billed 9,356 HCPCS/CPT codes, and received $197,265 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 2,470 prescription claims across 882 beneficiaries totaling $193,737 in drug costs, led by Otezla (Apremilast). Open Payments data shows 53 records totaling $1,129. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $148,022 and ending at $193,737. 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	1,545	10,311	$199,394
2016	1,580	10,191	$201,343
2017	1,621	10,210	$191,693
2018	1,614	10,646	$196,240
2019	1,670	10,289	$216,544
2020	1,410	8,431	$163,197
2021	1,422	8,833	$183,004
2022	1,441	9,031	$195,995
2023	1,525	9,850	$203,969
2024	1,507	9,356	$197,265

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	611	1,619	$148,022
2016	657	1,837	$111,828
2017	677	1,764	$157,843
2018	718	1,827	$273,028
2019	773	2,071	$156,191
2020	712	2,042	$194,276
2021	747	2,056	$220,687
2022	809	2,271	$243,837
2023	848	2,172	$173,061
2024	882	2,470	$193,737

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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	736	1,175	$43
17000	Destruction of precancer skin growth, 1 growth	1,257	1,988	$35
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	659	964	$22
11102	Biopsy of related skin growth, first growth	245	270	$15
17003	Destruction of precancer skin growth, 2-14 growths	958	4,360	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Otezla	Apremilast	14	660	$108,944
Metronidazole	Metronidazole	195	6,895	$11,498
Betamethasone Valerate	Betamethasone Valerate	419	12,714	$11,096
Fluocinonide	Fluocinonide	257	8,784	$9,377
Alclometasone Dipropionate	Alclometasone Dipropionate	109	3,207	$4,949

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.	53	$1,129	SUN PHARMACEUTICAL INDUSTRIES 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

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FAQ

What Medicare data is available for Paul M. Segal, MD?

Tedicare shows public-source Medicare data for Paul M. Segal, MD (NPI 1720097165), 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 Paul M. Segal, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Paul M. Segal, MD?

Paul M. Segal, MD is linked to BELOIT HEALTH SYSTEM INC (billing NPI 1679616361) in the available physician profile data.

Does Paul M. Segal, MD have Open Payments data?

Paul M. Segal, MD has 53 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.