Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Pagano (NPI 1275910978)

Field	Value
Entity Type	Individual
Organization	Michael Pagano
Address	10120 W Broad St Ste I
City	Glen Allen
State	VA
ZIP	23060
Taxonomy	Dentist
NPI Enumerated	May 1, 2015

Payer Source	Total Paid
Medicare	$10.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$110	$5.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	80	$60	$4.3K
70355	The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.	40	$10	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Michael Pagano — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	6,866	12,440	90	$60	$10K
99204	2,537	6,850	40	$110	$5.9K
70355	2	10	20	$10	$290

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Pagano, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Vaughan	VA	Orofacial Pain Dentistry	$5.1K	$0
Shahrzad Orenduff	VA	General Practice Dentistry	$4.8K	$0

Nearby Providers

Other providers in the same ZIP code as Michael Pagano, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Medical Group PLLC	VA	Family Medicine Physician	$0	$75.4M
Henrico Area Mental Heatlh And Developmental Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.7M
Rca Laboratory Services, LLC	VA	Clinical Medical Laboratory	$5.3M	$17.1M
Virginia Center For Addiction Medicine	VA	Addiction Medicine (Internal Medicine) Physician	$0	$19.7M
Patient First Maryland Medical Group, PLLC	VA	Family Medicine Physician	$0	$19.5M
Family Integrated Counseling Services	VA	Community/Behavioral Health Agency	$0	$17.8M
Patient First Pennsylvania Medical Group PLLC	VA	Urgent Care Clinic/Center	$0	$14.6M
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Renewing Stability LLC	VA	Community/Behavioral Health Agency	$0	$8.4M
Patient First Maryland Physician's Group PC	VA	Family Medicine Physician	$0	$7M

Michael Pagano — Billing Profile & Reimbursement Data

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Michael Pagano — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References