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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShane Gagon
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    Shane Gagon — Billing Profile & Reimbursement Data

    NPI 1508951328 · Price, UT · Family Medicine Physician

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    Shane Gagon is a family medicine physician provider located in Price, Utah. This profile covers 35 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShane Gagon
    Address377 N Fairgrounds Rd
    CityPrice
    StateUT
    ZIP84501
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$535.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established 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…2,210$80$168K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit700$120$84.2K
    99213The 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…1,190$60$70.2K
    99497The 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…700$80$54.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…130$280$36.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…240$70$17K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…110$150$16.1K
    G0008Administration of influenza virus vaccine280$30$8K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…30$250$7.8K
    99222The 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…70$100$7.2K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0181132060$70$12.6K
    9921424,08080$80$11.6K
    G0439299060$120$10.8K
    99490318080$40$7.4K
    99496196020$210$6.6K
    9921393,68060$50$6.4K
    90677138020$270$6.1K
    9923224788060$60$6.1K
    99497220050$60$5.7K
    G043888020$160$4.9K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allen Memorial Hospital CorporationIAEmergency Medicine Physician$0$6.9M
    Ron LordUTOphthalmology Physician$3.2M$0
    Shane D Gagon Md, PCUTFamily Medicine Physician$0$2.5M
    Moab Valley Healthcare, IncUTCritical Access Hospital$0$2.2M
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Kim BrandauUTColon & Rectal Surgery Physician$351.1K$0
    Garrett CaputoCOEmergency Medicine Physician$283.8K$0
    Marcos ValdezUTFamily Medicine Physician$212.4K$0
    Christopher HullUTDermatology Physician$195.8K$0
    Caroline LaggisCODermatology Physician$187.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Four Corners Community Behavioral Health, Inc.UTCommunity/Behavioral Health Agency$0$19.5M
    Castleview Hospital LLCUTRural Acute Care Hospital$0$6M
    Four Corners Community Behavioral Health, Inc.UTCommunity/Behavioral Health Agency$0$2.8M
    County Of CarbonUTLand Ambulance$322.9K$1.8M
    A Perfect SmileUTDental Clinic/Center$0$1M
    Four Corners Community Behavioral Health IncUTMethadone Clinic$0$817.1K
    West Emergency Services, LLCUTEmergency Medicine Physician$0$810.3K
    Southeastern Utah District Health DepartmentUTPublic Health or Welfare Agency$28.8K$666.5K
    Castleview Physician Practice, LLCUTFamily Medicine Physician$0$653.9K
    Carbon School DistrictUTLocal Education Agency (LEA)$0$622.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Shane Gagon — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah