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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJim Sponaugle
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    Jim Sponaugle — Billing Profile & Reimbursement Data

    NPI 1093712648 · Zanesville, OH · Anesthesiology Physician

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    Jim Sponaugle is a anesthesiology physician provider located in Zanesville, Ohio. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJim Sponaugle
    Address800 Forest Ave
    CityZanesville
    StateOH
    ZIP43701
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 28, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$17.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00567The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.10$330$3.9K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$150$2.6K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…40$60$2.1K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…40$60$2K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.20$80$1.6K
    00532The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…10$70$950
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.10$70$870
    00400The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.10$60$850
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…20$30$820
    00910The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…20$50$750

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00567153010$450$6.3K
    008113551,33020$80$2.7K
    0081247560020$90$2.6K
    007904726010$170$2.6K
    007313141,70020$80$2.1K
    019222915010$100$1.7K
    0053241010$90$1.3K
    0091012727020$60$1.3K
    014805212010$80$1.2K
    00400268010$80$1.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Vernon ReynoldsOHAnesthesiology Physician$28.5K$0
    Blake ButlerILAnesthesiology Physician$26.9K$0
    Lee WeissOHAnesthesiology Physician$23.4K$0
    Jason AdamsMIAnesthesiology Physician$19.4K$0
    Sarah AronsonOHAnesthesiology Physician$16.3K$0
    Junaid MukhdomiOHInterventional Pain Medicine Physician$14.8K$0
    Juanita CombsOHCertified Registered Nurse Anesthetist$12.7K$0
    Michael EdmundsOHCertified Registered Nurse Anesthetist$11K$0
    Sara PierenOHAnesthesiology Physician$10.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare SystemOHGeneral Acute Care Hospital$0$101.8M
    Spero Health Of Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$46M
    Allwell Behavioral Health ServicesOHMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$28.7M
    Mid-ohio Behavioral Health LLCOHMental Health Counselor$0$28.6M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$9.7M
    Genesis Primary Care Physicians LLCOHFamily Medicine Physician$0$7.1M
    Coler Hospice, LtdOHCommunity Based Hospice Care Agency$0$6.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Jim Sponaugle — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio