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FOUR STATES ANESTHESIA SERVICES LLC

PAC 8729973284 Physician group
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) · GALENA, KS · hospital-affiliated
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in GALENA, KS · bills Medicare in 4 states (KS, MO, OK, TX)
Scale 32 providers on the CMS registry roster · 35 codes billed (five-year data window) · 1,849 services (all billed codes, CY2024)
Medicare paid $187K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (620) 783-4000 — 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 1Advanced-practice 26Other clinicians 0= 27 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 27 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 21 of the group's 35 codes this year, across 3 states (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
1932176567 Stultz, Nancy CRNA Certified Registered Nurse Anesthetist (CRNA) WeirKS premium
1588619977 Sapp, Karen CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1538146733 Goodman, Marvin CRNA Certified Registered Nurse Anesthetist (CRNA) GroveOK premium
1578533527 Enyart, Don CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1730109810 Sarwinski, Michael CRNA Certified Registered Nurse Anesthetist (CRNA) GroveOK premium
1245673045 Thompson, Mandy Certified Registered Nurse Anesthetist (CRNA) Kansas CityKS premium
1285205658 Coomes, Lesli CRNA Certified Registered Nurse Anesthetist (CRNA) HaysKS premium
1235233958 Osborn, Thomas M.D. Anesthesiology MiamiOK premium
1265412704 St. Vrain, Aaron CRNA Certified Registered Nurse Anesthetist (CRNA) WichitaKS premium
1992455174 Baughman, Theresa CRNA Certified Registered Nurse Anesthetist (CRNA) GalenaKS premium
1083066773 Delzell, Christopher CRNA Certified Registered Nurse Anesthetist (CRNA) Kansas CityMO premium
1407823024 Grant, Rodney CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1902047608 Kelly-Salo, Marguerite CRNA Certified Registered Nurse Anesthetist (CRNA) ShawneeKS premium
1952319600 Aviles, Karen · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) SpringfieldMO premium
1891016614 Bunce, Buffy · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1851541072 Coats, Robert · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1669036075 Gilkerson, Morgan · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1417333543 Jackson, Danielle · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GalenaKS premium
1952041790 Liljenquist, Kevin · member of 3 groups Certified Registered Nurse Anesthetist (CRNA) GalenaKS premium
1437608163 Marshall, Elizabeth · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) JoplinMO premium
1184041204 Mawyin, Shannon · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) SalinaKS premium
1447610837 Reed, Melanie · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) RogersAR premium
1689081143 Sperry, Jonathan · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GalenaKS premium
1053845685 Stone, Cassie · member of 3 groups Certified Registered Nurse Anesthetist (CRNA) Overland ParkKS premium
1609250083 Walker, Keanon · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GalenaKS premium
1770845331 Weaver, Valerie · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Kansas CityMO premium
1689707689 Woodford, James · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GunnisonCO 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.