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    OpenPayerNPI Medicare & MedicaidAdrian Anthony
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    Adrian Anthony — Billing Profile & Reimbursement Data

    NPI 1376084632 · Gresham, OR · Pain Medicine (Anesthesiology) Physician

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    Adrian Anthony is a pain medicine (anesthesiology) physician provider located in Gresham, Oregon. This profile covers 16 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
    OrganizationAdrian Anthony
    Address689 Nw Burnside Rd
    CityGresham
    StateOR
    ZIP97030
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedMarch 19, 2017

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

    Payer SourceTotal Paid
    Medicare$157.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…410$100$41.3K
    99213The 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…580$70$38.5K
    98980The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…560$40$22.5K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…130$110$14.4K
    99204The provider sees a new 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 provider…80$130$10.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.140$60$8.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$160$4.6K
    64493The 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…40$90$3.9K
    64483This 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).40$90$3.4K
    99203The 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…30$80$2.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04801120130$110$44.9K
    64635498040$430$24K
    644835810050$220$19K
    64493549050$210$16.9K
    803072350110$60$13.6K
    992143866,07080$70$10.3K
    9898021040$40$9.8K
    992131045,48060$50$5.7K
    992043522,75030$110$4.4K
    27096536030$110$4.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbia Pain And Spine InstituteORPhysical Medicine & Rehabilitation Physician$0$1M
    Oleg MaksimovORPain Medicine (Physical Medicine & Rehabilitation) Physician$230.8K$0
    Angela TorresCACertified Registered Nurse Anesthetist$53.1K$0
    Jeremy NoelORCertified Registered Nurse Anesthetist$10.9K$0
    Howard GrattanORPain Medicine (Physical Medicine & Rehabilitation) Physician$9.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Mount Hood Medical CenterORGeneral Acute Care Hospital$0$43.2M
    Telecare Mental Health Services Of Oregon, IncORMental Illness Community Based Residential Treatment Facility$0$12M
    The Evangelical Lutheran Good Samaritan SocietyORIn Home Supportive Care Agency$0$5M
    Calcagno Pediatrics PCORPediatrics Physician$0$5M
    Mtn. View Family Practice, PCORFamily Medicine Physician$0$1.8M
    Jiyoung E Lee Dmd PCORPediatric Dentistry$0$1.6M
    Performance Modalities IncOROxygen Equipment & Supplies (DME)$0$1.4M
    Providence Health & Services - OregonORFamily Medicine Physician$0$1.3M
    Legacy Mount Hood Medical CenterORClinic/Center$0$1.1M
    Ana SquellatiORNaturopath$0$959K

    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. Oregon Distribution
    Adrian Anthony — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon