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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Donna Hagon (NPI 1508171646)

Field	Value
Entity Type	Individual
Organization	Donna Hagon
Address	1300 Roanoke Ave
City	Riverhead
State	NY
ZIP	11901
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	August 12, 2010

Payer Source	Total Paid
Medicare	$62.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	250	$60	$14.6K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	230	$60	$12.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	180	$60	$11.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$100	$8.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$90	$7.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$140	$7.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Donna Hagon — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	4,411	8,640	80	$100	$15.8K
99232	3,408	11,850	80	$70	$13.8K
99223	3,107	8,650	40	$150	$9.3K
99497	182	2,060	40	$70	$6.2K
99222	1,214	7,870	30	$110	$5.9K
99498	6	150	30	$60	$3.4K
99231	2,554	3,700	40	$40	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Ciminiello	NY	Orthopaedic Surgery Physician	$749.8K	$0
NPI 1346299500	—	—	$630.1K	$0
Victor Olujimi	NY	Sports Medicine (Orthopaedic Surgery) Physician	$258.4K	$750
Scott Press	NY	Urology Physician	$199.1K	$3.8K
Kristen Sochol	NY	Orthopaedic Hand Surgery Physician	$202.5K	$0
Steven Spiegel	NY	Internal Medicine Physician	$191.8K	$0
Olivia Demarco	NY	Physician Assistant	$190.6K	$0
Vincent Leone	NY	Orthopaedic Surgery Physician	$182.1K	$0
Kristin Gordon	NY	Family Medicine Physician	$142.5K	$14.9K
Joseph Pasquale	NY	Physician Assistant	$110K	$2.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suffolk Primary Health, LLC	NY	Primary Care Clinic/Center	$0	$22.3M
Alexander Zuhoski	NY	Hematology & Oncology Physician	$4.4M	$45.7K
Roy Chen	NY	Hematology & Oncology Physician	$3.3M	$104.3K
Deepali Sharma	NY	Hematology & Oncology Physician	$2.6M	$57.1K
Paul Youn	NY	Radiation Oncology Physician	$2.3M	$0
Yelda Nouri	NY	Hematology & Oncology Physician	$1.8M	$49.1K
Neal Murphy	NY	Hematology & Oncology Physician	$1.1M	$9.8K
Rajoo Patel	NY	Cardiovascular Disease Physician	$1.1M	$6.6K
Roy Prashad	NY	Rheumatology Physician	$1.1M	$700
Isamettin Aral	NY	Radiation Oncology Physician	$1M	$0

Donna Hagon — Billing Profile & Reimbursement Data

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Donna Hagon — 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