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

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

Paul Pagley (NPI 1790786812)

Field	Value
Entity Type	Individual
Organization	Paul Pagley
Address	900 W 38th St
City	Austin
State	TX
ZIP	78705
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicare	$151.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	370	$90	$32.5K
93355	The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…	110	$180	$19.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	290	$50	$15.4K
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…	200	$70	$13.7K
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…	120	$90	$11.1K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	130	$80	$10.5K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	60	$100	$6.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$130	$6.1K
78492	In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…	80	$60	$4.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	150	$30	$4.3K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Paul Pagley — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78492	68	170	60	$940	$89.8K
93306	650	1,900	210	$90	$23.1K
99233	4,194	9,320	100	$90	$17.9K
78452	519	1,180	50	$220	$17.9K
99214	5,671	32,500	110	$80	$17.6K
99232	10,392	11,790	100	$60	$15.8K
99223	9,261	9,990	40	$130	$9.5K
99215	3,760	8,730	40	$120	$9.2K
99213	6,341	29,790	70	$60	$8.4K
93880	170	1,800	40	$100	$6.7K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vinh Nguyen	TX	Cardiovascular Disease Physician	$522.7K	$0
Kevin Gallagher	TX	Cardiovascular Disease Physician	$493.2K	$0
Robert Canby	TX	Clinical Cardiac Electrophysiology Physician	$479.3K	$0
Paul Coffeen	TX	Clinical Cardiac Electrophysiology Physician	$462K	$0
David Tschopp	TX	Clinical Cardiac Electrophysiology Physician	$446.3K	$0
Jason Zagrodzky	TX	Clinical Cardiac Electrophysiology Physician	$431.3K	$0
Jeffrey Whitehill	TX	Clinical Cardiac Electrophysiology Physician	$412.7K	$0
David Kessler	TX	Clinical Cardiac Electrophysiology Physician	$365.9K	$0
Paul Tucker	TX	Interventional Cardiology Physician	$365.1K	$0
Matthew Jepson	TX	Internal Medicine Physician	$361.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis County Emergency Physicians PA	TX	Emergency Medicine Physician	$0	$47.3M
Longhorn Emergency Medical Associates PA	TX	Emergency Medicine Physician	$0	$16.1M
Peter Nixon	TX	Ophthalmology Physician	$5.1M	$0
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Robert Wong	TX	Ophthalmology Physician	$3.1M	$0
James Dooner	TX	Ophthalmology Physician	$2.9M	$0
Shelley Ghafoori	TX	Ophthalmology Physician	$2.8M	$0
Philip Storey	TX	Ophthalmology Physician	$2.8M	$0
Ryan Young	TX	Ophthalmology Physician	$2.7M	$0
Mark Levitan	TX	Ophthalmology Physician	$2.5M	$0

Paul Pagley — Billing Profile & Reimbursement Data

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Paul Pagley — 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