Physician
Pagana, William
Pagana, William was paid $275K by Medicaid between Oct 2020 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPAGANA, WILLIAM
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
33aNPI1972564565assigned 03/31/2006
33bProvider typeInternal Medicine Physician
28Total paid$275K
24GClaims7,469
24DCodes billed24
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#96 of 1,726
Median peer was paid$6K
This provider vs. median42×
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 | 341 | $11K | |
| 2021 | 1,814 | $68K | |
| 2022 | 2,002 | $70K | |
| 2023 | 1,984 | $73K | |
| 2024incomplete | 1,328 | $53K |
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 | 50% | 3,987 | 3,601 | $138K |
| 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 | 25% | 1,301 | 1,241 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 248 | 244 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 147 | 146 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 59 | 56 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 132 | 125 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 100 | 95 | $5K |
| G0008 | Administration of influenza virus vaccine | 1.2% | 317 | 302 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.0% | 295 | 281 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | 25 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 267 | 253 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | 12 | $1K |
12 more codes
| 80061 | Lipid panel | <1% | 68 | $947.43 |
| 87430 | <1% | 126 | $803.88 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 26 | $638.25 |
| 0012A | <1% | 12 | $528.00 | |
| 90671 | <1% | 14 | $396.56 | |
| 90686 | <1% | 12 | $281.00 | |
| 90674 | <1% | 27 | $275.60 | |
| 87070 | <1% | 28 | $211.64 | |
| 90697 | <1% | 12 | $132.00 | |
| G9920 | Screening performed and negative | 0% | 224 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 91301 | 0% | 17 | $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.