JACKSON WAGONER, MD
Pain Medicine (Anesthesiology) Physician · CASPER, WY
Individual Active NPI 1689137408
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 62 | 87 | $74,166 | $8,205 | $6,551 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 20 | $16 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $125 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ✓ | 19414A | WY |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME169309 | FL | |
| Anesthesiology Physician | 207L00000X | 69349 | AZ | |
| Anesthesiology Physician | 207L00000X | ME169309 | FL |
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.