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    OpenPayerNPI Medicare & MedicaidMark Lignell
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    Mark Lignell — Billing Profile & Reimbursement Data

    NPI 1447233218 · Rome, GA · Anesthesiology Physician

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    Mark Lignell is a anesthesiology physician provider located in Rome, Georgia. This profile covers 17 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
    OrganizationMark Lignell
    Address16 John Maddox Dr Nw
    CityRome
    StateGA
    ZIP30165
    TaxonomyAnesthesiology Physician
    NPI EnumeratedNovember 24, 2005

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

    Payer SourceTotal Paid
    Medicare$22.9K
    Medicaid$0

    Key Findings

    Provider MARK LIGNELL has a very small Medicare billing footprint with lifetime Medicare revenue of $22.9K and no Medicaid billing on file; this makes the practice effectively single‑payer (Medicare) in the available claims data and limits Medicaid‑related competitive analysis. The absence of any Medicaid activity means payer-mix risk and Medicaid network positioning cannot be assessed from these records.

    Revenue is concentrated in a few anesthesia codes: the top three Medicare codes (00670, 00731, 00790) account for 36.3% of the provider's total Medicare revenue, with those codes contributing $3.1K, $2.7K, and $2.5K respectively; average payments for those codes are $209, $56, and $108 per claim. This concentration indicates that a small set of procedure types drives a sizable share of this provider's limited Medicare dollars.

    The code mix (00670 for extensive spine/spinal cord/vascular procedures, 00731 for upper GI endoscopy anesthesia, and 00790 for upper abdominal intraperitoneal/laparoscopic anesthesia) suggests the provider covers both OR‑level cases and endoscopy/laparoscopy service lines. Combined with additional billed codes such as 01402 (total knee arthroplasty) and 64447 (femoral nerve block), the pattern is consistent with an anesthesia practice supporting a diversified set of surgical services across operating rooms and endoscopy suites.

    Competitive standing varies by code: 00790 ranks at the 90th national percentile and 00731 at the 87th national percentile, indicating relatively higher national volumes for those specific codes even though both are described in the source as "typical, unremarkable volume" for the code. By contrast, 00670 sits near the median at the 46th percentile and is also labeled "typical, unremarkable volume," so the provider is not a dominant national player on most codes despite pockets of higher percentile ranking.

    Even where percentile ranks are high for particular codes, the absolute scale of Medicare revenue is small ($22.9K), so the provider should be viewed as a modest participant nationally rather than a major or dominant anesthesia group; high percentiles on isolated codes do not translate into large overall revenue. Analysts should treat the provider's higher‑percentile code volumes as targeted strengths within a limited overall Medicare billing scope.

    Service breadth is notable given the revenue list: beyond spine and endoscopy codes, the provider billed for procedures such as major neck vessel anesthesia (00350 — $2.1K, 9.0% of Medicare revenue), open/arthroscopic total knee arthroplasty (01402 — $2.4K, 10.4%), femoral nerve block injections (64447 — $893, 3.9%), and transesophageal probe placement (93313 — $99, 0.4%). This diversity implies capability across vascular, orthopedic, urologic, ophthalmologic, and regional anesthesia procedures rather than a hyper‑narrow subspecialty focus.

    The provider's NPI has been enumerated since 2005-11-24 (~21 years ago), indicating long tenure in the Medicare program; longevity in the registry may support relationships with surgical teams but has not produced large Medicare revenue based on the available data. Tenure combined with limited billing suggests either low panel size, limited Medicare case mix, or selective engagement in specific procedural settings.

    There are a few low‑value or low‑volume signals worth noting: 93313 shows an average paid per claim of $9 and is listed at the 0th national percentile (characterized as "typical, unremarkable volume"), which puts it at the very low end of national activity and revenue contribution. Such low average payments and minimal revenue share (93313 = $99, 0.4% of Medicare revenue) highlight that some billed services produce negligible Medicare dollars and are not material to the provider's revenue profile.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00670The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…20$210$3.1K
    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…50$60$2.7K
    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$110$2.5K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.20$130$2.4K
    00350The provider performs anesthesia services for a patient undergoing any procedure on the major vessels of the neck, not otherwise specified.10$160$2.1K
    01230The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.10$110$1.2K
    00813The 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…20$70$1.2K
    00912The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.10$80$1.1K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.20$70$1.1K
    00918The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…10$80$960

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00142159040$70$5.8K
    00670121020$230$4.1K
    01402140020$130$3.2K
    0035011020$180$2.9K
    00811499020$70$2.8K
    00790130010$130$2.2K
    00813345020$90$2.1K
    0073111,34020$70$2K
    0123015010$120$1.7K
    01922118020$80$1.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Paul BeebeFLPain Medicine (Anesthesiology) Physician$383.8K$0
    Stephen FriedmanFLPain Medicine (Anesthesiology) Physician$354.2K$0
    Luvell GlantonMOPain Medicine (Anesthesiology) Physician$127.2K$0
    Woodley Mardy-davisGAInterventional Pain Medicine Physician$84.1K$0
    Earley MorrisonTNCertified Registered Nurse Anesthetist$69.6K$0
    Amy Schlegel HavigFLCertified Registered Nurse Anesthetist$68.7K$0
    Ignatius LowFLCertified Registered Nurse Anesthetist$66.8K$0
    John WallFLAnesthesiology Physician$64.4K$0
    Andrew OsborneALAnesthesiology Physician$57.8K$0

    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. Georgia Distribution
    Mark Lignell — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia