Physician
Shane D Gagon MD, PC
Shane D Gagon MD, PC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoSHANE D GAGON MD, PC
PRICE, UT 84501
PRICE, UT 84501
33aNPI1982815064assigned 05/24/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.48M
24GClaims50,862
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#8 of 426
Median peer was paid$12K
This provider vs. median198×
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 | 6,569 | $315K | |
| 2019 | 6,857 | $302K | |
| 2020 | 6,905 | $295K | |
| 2021 | 7,891 | $391K | |
| 2022 | 7,468 | $417K | |
| 2023 | 7,805 | $372K | |
| 2024incomplete | 7,367 | $384K |
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 | 56% | 22,209 | 18,907 | $1.40M |
| 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 | 34% | 10,392 | 9,366 | $850K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 707 | 675 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 693 | 673 | $55K |
| 87428 | 1.6% | 1,235 | 1,161 | $40K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,288 | 3,999 | $17K |
| 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 | <1% | 99 | 97 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,871 | 1,750 | $9K |
| 90688 | <1% | 711 | 620 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 157 | 152 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,913 | 1,495 | $5K |
| 99495 | <1% | 26 | 26 | $3K |
28 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 199 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 559 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 18 | $2K |
| 81003 | <1% | 2,001 | $2K | |
| 90658 | <1% | 80 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 204 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 90686 | <1% | 238 | $1K | |
| 99490 | Ccm add 20min | <1% | 174 | $612.99 |
| 90682 | <1% | 68 | $566.70 | |
| 99406 | <1% | 102 | $397.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 100 | $324.86 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 269 | $215.40 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 24 | $196.24 |
| 90673 | <1% | 13 | $139.35 | |
| G0008 | Administration of influenza virus vaccine | <1% | 272 | $86.65 |
| 99497 | <1% | 54 | $42.00 | |
| 90685 | <1% | 12 | $23.21 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 32 | $10.31 |
| 80305 | <1% | 20 | $5.29 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 86 | $0.01 |
| 90656 | <1% | 56 | $0.01 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 259 | $0.00 |
| 99051 | 0% | 1,577 | $0.00 | |
| 90662 | 0% | 59 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 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 officialSTAPLEY, PAT (BILLING)