Physician

William Joseph Pagana, MD

According to 2025 Medicare claims, William Pagana, MD (NPI: 1972564565) practices pediatric medicine in the Williamsport, PA market, with the plurality of this provider's patient population coming from Lycoming, PA. This provider's primary affiliated billing organization is FAMILY PRACTICE CENTER, PC (NPI: 1154376937; TIN: 231919008) and primary practice location at 17701-3724. Pagana is affiliated with the Keystone ACO (ACO ID: A1552) and The Accountable Care Organization, Ltd. (ACO ID: A2098), participating under the MSSP model.

Pagana's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 443 traditional Medicare patients, billed 5,412 HCPCS/CPT codes, and received $198,278 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 10,355 prescription claims across 598 beneficiaries totaling $794,082 in drug costs, led by Eliquis (Apixaban). DME data shows 672 claims. Open Payments data shows 53 records totaling $1,021. 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 risen steadily, from $130,698 to $198,278. Similarly, Part D prescription costs have risen steadily, from $447,625 to $794,082. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $28,251 to $40,209.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	407	2,210	$130,698
2016	389	2,567	$119,503
2017	404	2,827	$120,814
2018	416	2,656	$124,184
2019	398	2,732	$122,433
2020	471	3,498	$144,434
2021	501	3,289	$167,694
2022	446	4,043	$179,809
2023	472	4,975	$230,704
2024	443	5,412	$198,278

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	385	9,233	$447,625
2016	417	9,875	$511,569
2017	447	9,978	$526,564
2018	467	9,442	$555,029
2019	520	9,079	$560,472
2020	520	9,960	$697,364
2021	546	10,013	$720,377
2022	569	9,840	$786,968
2023	598	10,504	$899,953
2024	598	10,355	$794,082

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	92	448	$23,089
2016	111	489	$12,701
2017	143	533	$12,840
2018	179	605	$13,762
2019	193	645	$16,084
2020	146	581	$17,933
2021	186	507	$18,226
2022	182	584	$26,356
2023	215	702	$41,018
2024	196	672	$36,191

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	254	254	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	385	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	254	383	$51
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	125	490	$42
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	171	235	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	198	11,072	$205,457
Jardiance	Empagliflozin	61	3,330	$63,155
Ozempic	Semaglutide	43	1,768	$55,658
Xarelto	Rivaroxaban	35	2,970	$51,231
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	32	960	$20,543

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	25	$11,594
A7031	Face mask interface, replacement for full face mask, each	N	21	53	$4,687
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	59	$4,545
A7030	Full face mask used with positive airway pressure device, each	N	22	53	$4,360
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	16	$1,517

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	53	$1,021	ABBVIE INC.
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 William Joseph Pagana, MD?

Tedicare shows public-source Medicare data for William Joseph Pagana, MD (NPI 1972564565), 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 William Joseph Pagana, MD have ACO affiliation data?

William Joseph Pagana, MD is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552) and The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098).

What billing organization is linked to William Joseph Pagana, MD?

William Joseph Pagana, MD is linked to FAMILY PRACTICE CENTER, PC (billing NPI 1154376937) in the available physician profile data.

Does William Joseph Pagana, MD have Open Payments data?

William Joseph Pagana, MD has 53 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.