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    OpenPayerNPI Medicare & MedicaidJoshua Pagar
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    Joshua Pagar — Billing Profile & Reimbursement Data

    NPI 1669679064 · Columbia, MO · Urology Physician

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    Joshua Pagar is a urology physician provider located in Columbia, Missouri. This profile covers 47 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoshua Pagar
    Address1 Hospital Dr
    CityColumbia
    StateMO
    ZIP65212
    TaxonomyUrology Physician
    NPI EnumeratedJune 28, 2007

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

    Payer SourceTotal Paid
    Medicare$383.9K
    Medicaid$8K

    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88120The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…160$450$69.3K
    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…680$90$60.3K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…1,120$30$38K
    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…370$60$21.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg150$140$20.6K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.260$70$17.8K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method110$160$16.3K
    99204The 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…140$120$16K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.430$30$14.6K
    55700Code deleted December 31, 2025.130$110$13.9K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798510380$30$140.7K
    8812011050$370$28.6K
    87481410130$30$21.6K
    87801110260$70$17.8K
    J92172270100$130$17.7K
    8750061090$30$13.9K
    992143468,960100$80$13.9K
    520002917080$150$12.8K
    87653510110$30$12.2K
    5586681020$690$11.1K

    Showing 1–10 of 47

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 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…70$80$5.5K
    99204The 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…20$130$2K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…90$1$190
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.20$10$150

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,2323,170230$70$128.1K
    99204The 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…47858060$110$42K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…226320310$30$40.6K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.3540180$10$3.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baystate Medical Practices, IncMAEmergency Medical Services (Emergency Medicine) Physician$0$60.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sidney Kahn IvMAVascular & Interventional Radiology Physician$945K$0
    Scott HalistaMARheumatology Physician$679.1K$15.5K
    Daren GirardRIEmergency Medicine Physician$25K$638.1K
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K
    Tavish NandaMAOphthalmology Physician$490.9K$0
    Lucian NevilleMACardiovascular Disease Physician$484.7K$0
    David RobertsonMAAllergy & Immunology Physician$31.5K$447.3K
    Mikhail NovikovMASurgery Physician$454.7K$220

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Curators Of The University Of MissouriMOGeneral Acute Care Hospital$0$135.8M
    The Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$40.4M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Curators Of The University Of MissouriMOLand Ambulance$0$6.2M
    Jaffar HilliMOHematology & Oncology Physician$1.6M$0
    Brian WrightMODiagnostic Radiology Physician$455.9K$0
    Patricia McghieMOBody Imaging Physician$372.5K$0
    Jella AnMOOphthalmology Physician$336.6K$0
    Christy WaranchMODiagnostic Radiology Physician$332.3K$0
    Nathan HesemannMOOphthalmology Physician$282.5K$0

    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. Missouri Distribution
    Joshua Pagar — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Joshua Pagar — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri