JAKE FAGAN, MD
MOHS-Micrographic Surgery Physician · PROVO, UT
Individual Active NPI 1548688989
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 580 | 1,968 | $1,206,943 | $404,948 | $309,633 |
| 2023 | 781 | 2,701 | $1,524,070 | $426,684 | $331,555 |
| 2022 | 700 | 2,461 | $1,542,346 | $423,750 | $326,563 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 243 | $293 | $226 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 178 | $569 | $452 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 149 | $386 | $308 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 142 | $182 | $143 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $64 | $39 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 81 | $7 | $4 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 76 | $88 | $58 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 59 | $2 | $1 |
| 11102 | Biopsy of related skin growth, first growth | 55 | $27 | $14 |
| 17000 | Destruction of precancer skin growth, 1 growth | 49 | $58 | $36 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 49 | $80 | $55 |
| 17000 | Destruction of precancer skin growth, 1 growth | 46 | $45 | $21 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ✓ | 6845592-1205 | UT |
| Dermatology Physician | 207N00000X | MED-PHYS-LIC-76211 | MT | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | MED-PHYS-LIC-76211 | MT | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 76211 | MT | |
| Surgical Oncology Physician | 2086X0206X | MED-PHYS-LIC-76211 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.