Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Fagan
    Ask Trek AI about this page

    David Fagan — Billing Profile & Reimbursement Data

    NPI 1841220423 · Plymouth, NH · Internal Medicine Physician

    Customize your policy alerts

    Sign up for David Fagan — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    David Fagan is a internal medicine physician provider located in Plymouth, New Hampshire. This profile covers 43 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Fagan
    Address101 Boulder Point Dr
    CityPlymouth
    StateNH
    ZIP03264
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicare$62.1K
    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93880Duplex 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…90$120$10.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.400$10$5.1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…90$60$4.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.470$10$4.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…450$10$4.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…460$10$3.7K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…610$1$2.5K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.40$60$2.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…30$70$1.9K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.70$30$1.8K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17000114120190$40$11.4K
    938802810040$50$3.1K
    69210537040$30$2.3K
    0124A9118040$40$2K
    8006149070$10$1.7K
    735645517040$20$1.7K
    7104611525080$10$1.6K
    84443198050$20$1.4K
    7350212720050$20$1.3K
    76830517020$50$1.3K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid-state Health CenterNHFederally Qualified Health Center (FQHC)$0$5.5M
    Mid-state Health CenterNHFederally Qualified Health Center (FQHC)$0$3.3M
    Mid-state Health CenterNHInternal Medicine Physician$0$80.7K
    Mid-state Health CenterNHFederally Qualified Health Center (FQHC)$0$77.6K
    Mid-state Health CenterNHFederally Qualified Health Center (FQHC)$0$74.7K
    Matthew ScagliariniNHPhysical Therapist$49.8K$0
    Kathleen MackayNHPhysical Therapist$44.6K$0
    Leesa ConwayNHPhysical Therapist$36.4K$0
    Pamela HixonNHOccupational Therapist$30.2K$0
    Devan RooneyNHFamily Nurse Practitioner$13.6K$530

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Prospect Academy, Inc.NHEmotionally Disturbed Childrens' Residential Treatment Facility$0$76.6M
    Speare Memorial HospitalNHCritical Access Hospital$0$9.2M
    Speare Memorial HospitalNHRural Health Clinic/Center$0$6.4M
    Speare Memorial HospitalNHRural Health Clinic/Center$0$1.1M
    Speare Memorial HospitalNHRural Health Clinic/Center$0$817.5K
    Speare Health Ventures, Inc.NHUrgent Care Clinic/Center$0$388.4K
    Paul MuscoNHOphthalmology Physician$337K$0
    Pemi Baker Regional School DistrictNHLocal Education Agency (LEA)$0$318K
    Plymouth School DistrictNHLocal Education Agency (LEA)$0$312.5K
    Pemi-baker Hospice & Home HealthNHHome Health Agency$0$298.5K

    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. New Hampshire Distribution
    David Fagan — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire