Pagana, James

Pagana, James was paid $34K by Medicaid between Nov 2020 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoPAGANA, JAMES
SELINSGROVE, PA 17870

33aNPI1194163964assigned 06/13/2013

33bProvider typeFamily Medicine Physician

28Total paid$34K

24GClaims1,610

24DCodes billed8

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,116 of 2,756

Median peer was paid$19K

This provider vs. median1.8×

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
2020	39	$80.64
2021	67	$40.32
2022	547	$5K
2023	662	$19K
2024incomplete	295	$9K

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	37%	347	315	$12K
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	31%	196	188	$10K
99309	Subsequent nursing facility care, per day, low to moderate complexity	21%	592	565	$7K
99308	Subsequent nursing facility care, per day, straightforward	7.3%	386	173	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	28	27	$715.00
80061	Lipid panel	1.6%	37	36	$531.37
80053	Comprehensive metabolic panel	<1%	12	12	$141.27
G9920	Screening performed and negative	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.