Physician
Hager and Associates PSC
Hager and Associates PSC was paid $2.87M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHAGER AND ASSOCIATES PSC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1629114707assigned 01/29/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.87M
24GClaims125,046
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#26 of 352
Median peer was paid$90K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2018 | 18,538 | $485K | |
| 2019 | 21,139 | $554K | |
| 2020 | 23,640 | $565K | |
| 2021 | 26,615 | $567K | |
| 2022 | 16,144 | $301K | |
| 2023 | 10,308 | $205K | |
| 2024incomplete | 8,662 | $194K |
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 | 47% | 46,977 | 36,459 | $1.36M |
| 82075 | 10% | 13,355 | 8,049 | $294K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.0% | 7,848 | 6,639 | $200K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 3,366 | 3,058 | $186K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 8,640 | 7,685 | $149K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 10,064 | 5,980 | $129K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.0% | 3,410 | 2,878 | $114K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 5,029 | 4,290 | $99K |
| 80305 | 2.6% | 7,775 | 6,593 | $74K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 3,813 | 3,478 | $67K |
| 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 | 1.9% | 1,386 | 1,224 | $54K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.9% | 1,595 | 1,464 | $54K |
21 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 5,925 | $54K |
| 81025 | <1% | 3,029 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 66 | $5K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 578 | $3K |
| 99490 | Ccm add 20min | <1% | 563 | $2K |
| 90674 | <1% | 106 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 88 | $1K |
| 87807 | <1% | 126 | $861.57 | |
| 99441 | <1% | 27 | $662.57 | |
| H0049 | Alcohol and/or drug screening | <1% | 62 | $542.47 |
| H0031 | Mental health assessment, by non-physician | <1% | 18 | $443.62 |
| 99051 | <1% | 40 | $322.50 | |
| 81000 | <1% | 275 | $307.22 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 17 | $116.73 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 17 | $105.70 |
| 99439 | <1% | 18 | $54.24 | |
| 81002 | <1% | 19 | $10.61 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $8.69 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 29 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 759 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | $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 officialHAGER, JAMES (OWNER PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lenape Regional High School District | Shamong, NJ | $2.21M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.