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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Fernando Pagan (NPI 1881682029)

Field	Value
Entity Type	Individual
Organization	Fernando Pagan
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Neurology Physician
NPI Enumerated	October 12, 2005

Payer Source	Total Paid
Medicare	$436.9K
Medicaid	$0

Key Findings

FERNANDO PAGAN is effectively a Medicare-only billing practice: lifetime Medicare revenue is $436.9K and there is no Medicaid billing on file, indicating a single-payer footprint in available data rather than a mixed payer panel. Analysts should treat this profile as representative of Medicare-facing services rather than a hybrid Medicaid/Medicare operation.

Revenue concentration is high: precomputed data show the top 3 Medicare codes by revenue account for 66.4% of the provider’s total Medicare revenue, so a small set of services drives most income. This concentration suggests the provider’s financial performance and utilization trends will be sensitive to reimbursement or utilization changes for those few codes.

The largest single revenue source is J0585 (onabotulinumtoxina), which accounts for $138K and 31.3% of Medicare revenue; combined with J0588 and J0587 (other botulinum toxin products) these toxin injection codes form the core service line. The code mix and the presence of multiple botulinum toxin HCPCS imply a procedural neurology practice focused on therapeutic chemodenervation for movement disorders, spasticity, dystonia, and related indications.

99215 visits are a major non-procedural revenue driver with $102.9K and 23.3% of Medicare revenue, and the provider ranks in the 99th percentile nationally for volume on that code (described in the source as an "extreme outlier"). This signals an unusually high level of complex office-based evaluation and management activity compared with peers and suggests a high-acuity outpatient neurology panel or substantial time-based billing for complex follow-up visits.

Competitive standing is mixed by service: for J0585 the provider ranks #278 of 3636 (92nd percentile) which is a typical, unremarkable volume relative to the national pool, while for J0588 the provider ranks #52 of 216 (76th percentile), and for 99215 the provider is an extreme outlier at #841 of 145531 (99th percentile). In plain terms, the practice is a routine national-level participant for botulinum toxin injections but a standout for high-complexity E/M visits.

Several add-on and specialty procedures appear at meaningful volumes: 95874 (EMG guidance for chemodenervation) and 93660 (tilt-table testing) are both above typical national volume (94th and 95th percentiles respectively), supporting the interpretation that the provider performs a range of diagnostic and procedure-focused neurology services beyond routine visits. These codes reinforce the practice orientation toward interventional and diagnostic neurology.

Tenure is long-standing: the NPI was enumerated on 2005-10-12 (approximately 21 years ago), indicating sustained presence in Medicare billing data and offering a long look-back for trend analysis and potential referral-network stability. This longevity, combined with the concentrated code mix, suggests an established specialty practice rather than a recent entrant.

While the provider bills substantial procedural codes (botulinum toxin injections and chemodenervation add-on work), other chronic care management and neurostimulator programming codes appear at modest levels (for example, 99483 at $34.2K and 95984 at $4.7K). This indicates a mix of episodic procedure revenue complemented by some longitudinal cognitive and device-management services, but with clear dominance by toxin injection and high-complexity E/M revenue.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	27,590	$10	$137.9K
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…	690	$150	$102.9K
J0588	Injection, incobotulinumtoxin a, 1 unit	13,010	$1	$52K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	150	$230	$34.2K
J0587	Injection, rimabotulinumtoxinb, 100 units	2,310	$10	$23.1K
64616	The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…	110	$180	$19.6K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	160	$70	$11.3K
93660	In this procedure, the provider tests the function of the heart with the patient on a tilt table to determine the cause of reflex mediated syncope. He rotates the position of the patient while…	60	$140	$8.3K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	60	$130	$7.8K
64646	The provider injects a chemical, such as Botox®, into one to five muscles in the trunk to relieve a patient's pain and spasms.	100	$80	$7.2K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Fernando Pagan — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0588	1	10	12,090	$1	$48.8K
J0585	2	20	5,400	$1	$46.5K
99487	5	10	40	$110	$31.5K
J0587	1	10	2,280	$10	$20.5K
99214	1,118	1,400	90	$100	$15.3K
99483	2	10	40	$220	$14.9K
99215	6	660	50	$130	$12.3K
99490	21	20	100	$50	$10.8K
64616	2	10	50	$170	$10.3K
64646	2	10	110	$80	$9.3K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Medical Group Ii LLC	MD	General Practice Physician	$0	$91.5M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Paul Bannen	MD	Hematology & Oncology Physician	$1.4M	$0
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Nihar Patel	TX	Hematology & Oncology Physician	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0

Fernando Pagan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References