Physician

Paul Anthony Fagan, D.O.

According to 2025 Medicare claims, Paul Fagan, D.O. (NPI: 1063646305) practices orthopedic surgery in the Oshkosh-Neenah, WI market, with the plurality of this provider's patient population coming from Winnebago, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 54904-7668. Fagan is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), THEDACARE ACO (ACO ID: A4988), and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Fagan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 134 traditional Medicare patients, billed 5,343 HCPCS/CPT codes, and received $67,837 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 652 prescription claims across 242 beneficiaries totaling $7,209 in drug costs, led by Celecoxib (Celecoxib). Open Payments data shows 12 records totaling $1,962. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $16,426 and ending at $67,837. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,210 and ending at $7,209. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	50	368	$16,426
2016	134	1,029	$66,914
2017	157	1,553	$72,522
2018	189	2,294	$101,081
2019	205	2,665	$102,442
2020	165	1,482	$81,390
2021	164	1,991	$89,412
2022	145	1,876	$60,835
2023	148	1,657	$78,911
2024	134	5,343	$67,837

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	32	54	$1,210
2016	85	273	$4,844
2017	145	478	$12,072
2018	178	441	$12,891
2019	175	423	$9,440
2020	178	428	$12,839
2021	186	480	$9,858
2022	181	462	$8,695
2023	205	611	$10,238
2024	242	652	$7,209

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
27447	Replacement of knee joint, both sides of knee	17	20	$916
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	55	89	$70
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	41	44	$59
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	75	$38
J1010	Injection, methylprednisolone acetate, 1 mg	41	3,692	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	77	2,780	$1,646
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	124	614	$1,149
Naloxone Hcl	Naloxone Hcl	12	47	$776
Diclofenac Sodium	Diclofenac Sodium	36	1,147	$564
Meloxicam	Meloxicam	152	5,512	$356

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$1,962	Stryker Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Paul Anthony Fagan, D.O.?

Tedicare shows public-source Medicare data for Paul Anthony Fagan, D.O. (NPI 1063646305), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Paul Anthony Fagan, D.O. have ACO affiliation data?

Paul Anthony Fagan, D.O. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), THEDACARE ACO (MSSP, ACO ID A4988), and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Paul Anthony Fagan, D.O.?

Paul Anthony Fagan, D.O. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Paul Anthony Fagan, D.O. have Open Payments data?

Paul Anthony Fagan, D.O. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.