Roger R Gagnon
Roger R Gagnon was paid $138K by Medicaid between Jun 2018 and Dec 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 59% of everything it billed.
33Billing provider infoROGER R GAGNON
SOUTH PORTLAND, ME 04106
SOUTH PORTLAND, ME 04106
33aNPI1649464983assigned 08/29/2007
33bProvider typeOptometrist
28Total paid$138K
24GClaims4,503
24DCodes billed7
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#32 of 94
Median peer was paid$70K
This provider vs. median2.0×
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 | 43 | $2K | |
| 2019 | 72 | $3K | |
| 2020 | 501 | $13K | |
| 2021 | 1,052 | $26K | |
| 2022 | 770 | $21K | |
| 2023 | 921 | $28K | |
| 2024incomplete | 1,144 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 59% | 1,105 | 1,076 | $81K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 737 | 696 | $42K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.8% | 103 | 100 | $11K |
| 92015 | Determination of refractive state | 2.1% | 2,503 | 2,420 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 12 | $606.30 |
| 92250 | <1% | 27 | 27 | $483.09 | |
| 92285 | <1% | 13 | 13 | $135.03 |
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 officialGAGNON, ROGER (CEO)