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

Why is the Medicaid comparison limited to Maine 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. Maine (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.

James Gagnon (NPI 1609948900)

Field	Value
Entity Type	Individual
Organization	James Gagnon
Address	22 Bramhall St
City	Portland
State	ME
ZIP	04102
Taxonomy	Anesthesiology Physician
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicare	$14K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	20	$190	$4.2K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$150	$2.5K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$200	$2.2K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	10	$140	$1.6K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	10	$110	$1.3K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	20	$40	$880
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	20	$40	$840
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$30	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

James Gagnon — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00537	5	10	20	$200	$4.1K
01402	30	70	20	$160	$3K
01214	16	30	10	$170	$2.3K
01922	29	30	20	$80	$2.2K
00840	5	10	10	$140	$2K
00104	27	60	20	$40	$1.1K
64447	20	40	20	$50	$930
36620	21	30	20	$30	$770

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Donohue	ME	Diagnostic Radiology Physician	$98.9K	$830
Craig Curry	ME	Anesthesiology Physician	$89.4K	$0
Andrew Kim	CO	Diagnostic Radiology Physician	$62.7K	$0
Emily Meserve	ME	Anatomic Pathology & Clinical Pathology Physician	$46.9K	$0
Janette Covington	ME	Anesthesiology Physician	$43.9K	$0
Dana Crovo	ME	Anesthesiology Physician	$41.7K	$0
Vitaliy Domashevich	CO	Anesthesiology Physician	$31.6K	$0
Paul Lennon	ME	Anesthesiology Physician	$22.5K	$0
Stewart Chritton	ME	Anesthesiology Physician	$22K	$0
Daniel Campos	ME	Anesthesiology Physician	$21.2K	$0

James Gagnon — Billing Profile & Reimbursement Data

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James Gagnon — 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

Frequently Asked Questions

References