Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Western Anesthesiology Associates, Inc. (NPI 1275646754)

Western Anesthesiology Associates, Inc. is a anesthesiology physician provider located in Saint Louis, Missouri. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Western Anesthesiology Associates, Inc.
Address	615 S New Ballas Rd
City	Saint Louis
State	MO
ZIP	63141
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$10.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	12,710	$840	$10.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6,830	$20	$143.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	900	$40	$31.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	260	$70	$17.6K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	300	$30	$9.4K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	1,030	$10	$9.3K
00920	The provider performs anesthesia services for a patient undergoing a procedure on male genitalia that is not specified by any other anesthesia code. As part of the procedure, the provider may incise…	100	$60	$5.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	250	$20	$4.2K
00731	The 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…	80	$40	$2.8K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	40	$60	$2K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Western Anesthesiology Associates, Inc. — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1	100	50	$390	$131.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	787	3,170	230	$70	$128.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	232	4,310	300	$60	$110.8K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	7	30	70	$140	$62.6K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	3	10	300	$30	$42.5K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	27	30	110	$100	$35.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	650	860	60	$70	$33.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	332	1,020	100	$40	$27K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	18	30	30	$170	$19.4K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	26	30	70	$30	$11.2K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick Abele	MO	Anesthesiology Physician	$1.5K	$412.4K
Stephen Schmidt	MO	Pain Medicine (Anesthesiology) Physician	$332.7K	$0
Gregory Smith	MO	Pain Medicine (Anesthesiology) Physician	$138.5K	$0
Courtney Clifton	KS	Anesthesiology Physician	$24.4K	$89.6K
Calvin Cajigal	MO	Interventional Pain Medicine Physician	$106.4K	$0
Martha Fernandez	MS	Anesthesiology Physician	$56K	$0
Brian Mckenna	MO	Anesthesiology Physician	$55.6K	$0
Charles Bowen	SC	Anesthesiology Physician	$15.1K	$37.4K
Mohammad Bashiti	MO	Anesthesiology Physician	$41.3K	$0
Robert Forstot	MO	Anesthesiology Physician	$37.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospitals East Communities	MO	General Acute Care Hospital	$0	$56.5M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M
Mercy Clinic East Communities	MO	Internal Medicine Physician	$0	$22.2M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$19.8M
Biotech X-ray Inc	MO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$5.1M	$6M
Team Select Home Care Of Missouri, Inc.	MO	Nursing Care Agency	$0	$10.7M
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$9.8M
Sensory Solutions, LLC	MO	Occupational Therapist	$0	$7.3M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$6.2M
Independent Home Care, Inc	MO	Homemaker	$0	$5.7M

Western Anesthesiology Associates, Inc. — Billing Profile & Reimbursement Data

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Western Anesthesiology Associates, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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