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METRO ANESTHESIA AND PAIN MNGMT LLP

PAC 1456343763 Provider group
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) · WEST DES MOINES, IA · hospital-affiliated
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in WEST DES MOINES, IA · bills Medicare in 1 state (IA)
Scale 14 providers on the CMS registry roster · 45 codes billed (five-year data window) · 9,199 services (all billed codes, CY2024)
Medicare paid $387K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (515) 221-9222 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 5Advanced-practice 9Other clinicians 0= 14 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 14 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 30 of the group's 45 codes this year, across 1 state (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1942207659 Ransdell, Clay D.O. Anesthesiology West Des MoinesIA premium
1447452677 Spellman, Andrew D.O. Anesthesiology West Des MoinesIA premium
1780681551 Quam, Steven D.O. Anesthesiology West Des MoinesIA premium
1649277468 Sykes, James D.O. Anesthesiology West Des MoinesIA premium
1891904660 Stalvey, Christopher DO Pain Management West Des MoinesIA premium
1477879484 Knop Dumstorff, Jocelyn CRNA Certified Registered Nurse Anesthetist (CRNA) WaukeeIA premium
1013540095 Stephas, Sarah CRNA Certified Registered Nurse Anesthetist (CRNA) West Des MoinesIA premium
1487680195 Biscoglia, Sarah ARNP Nurse Practitioner West Des MoinesIA premium
1760401897 Hunsinger, Andrew · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) PellaIA premium
1093212607 Johnston, Laura · member of 5 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Iowa CityIA premium
1457670317 Mckenzie, Angela · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Des MoinesIA premium
1033548375 Soriano, Nathan · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Des MoinesIA premium
1982066593 Specht, Samantha · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) CorningIA premium
1114304128 Tweedy, Sarah · member of 5 groups DNP, CRNA Certified Registered Nurse Anesthetist (CRNA) ManchesterIA premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.