Physician
Pagana & Pagana-Defazio Family Practice LLC
Pagana & Pagana-Defazio Family Practice LLC was paid $853.65 by Medicaid between Jan 2018 and Nov 2018, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoPAGANA & PAGANA-DEFAZIO FAMILY PRACTICE LLC
SUNBURY, PA 17801
SUNBURY, PA 17801
33aNPI1922083518assigned 12/07/2005
33bProvider typeFamily Medicine Physician
28Total paid$853.65
24GClaims420
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#2,454 of 2,756
Median peer was paid$19K
This provider vs. median0.0×
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 | 420 | $853.65 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 99% | 84 | 74 | $847.65 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 19 | 14 | $6.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 95 | 79 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 55 | 46 | $0.00 |
| 4040F | 0% | 15 | 12 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | 13 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 47 | 38 | $0.00 |
| 1036F | 0% | 31 | 27 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 31 | 27 | $0.00 |
| 1101F | 0% | 15 | 12 | $0.00 | |
| 1123F | 0% | 15 | 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.
From NPPES
Who's on the registration
Authorized officialPAGANA, JOHN (FAMILY PRACTITIONER)