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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Peter Kroll
⚕️
MDIndividual

Peter Kroll, M.D.

NPI: 1124020011
Hendersonville, TN
6 years of data
Pain Management
$25.5M
Total Payments
249.1K
Beneficiaries
364.1K
Services
3.38x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$25.5M
Specialty median$156.5K

📋 Key Findings

1Billed $25.5M over 6 years
23.38x markup ratio (above median)
399th percentile in Pain Management by payments
4243 services/day — physically implausible
5Payments surged 482% in 2016
620 procedures with >3x markup

⚠️ This provider averages 243 services per working day — physically unusual for an individual practitioner

Based on 364.1K total services over 6 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $25.5M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.

Averaging 243 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 482% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$409.36$77.525.28x$331.84$676.4K16.9K11.3K
2015$261.16$50.795.14x$210.37$1.4M51.1K29.5K
2016$311.50$60.745.13x$250.76$8.1M122.0K91.2K
2017$583.94$111.375.24x$472.57$12.2M137.3K86.8K
2018$246.26$48.875.04x$197.39$3.1M36.6K30.1K
2019$267.13$51.745.16x$215.39$11.1K227161

Top Procedures (20)

G0483Drug test def 22+ classes⚠ 3.4x markup
$7.0M
31.6K services$221.61/svc3.41x markup
G0482Drug test def 15-21 classes⚠ 3.1x markup
$6.6M
33.7K services$196.17/svc3.08x markup
80307Testing for presence of drug⚠ 3.2x markup
$3.7M
48.2K services$75.94/svc3.16x markup
G0479Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when⚠ 3.1x markup
$1.9M
25.0K services$77.27/svc3.08x markup
G0481Drug test def 8-14 classes⚠ 3.1x markup
$1.3M
8.9K services$144.62/svc3.12x markup
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter⚠ 3.2x markup
$361.2K
3.7K services$96.65/svc3.19x markup
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 not limited to gc/ms (any type, single or tandem) and lc/ms⚠ 3.1x markup
$316.0K
2.8K services$112.06/svc3.07x markup
84403Testosterone (hormone) level⚠ 3.1x markup
$248.7K
7.3K services$34.22/svc3.07x markup
84144Progesterone (reproductive hormone) level⚠ 3.5x markup
$199.2K
7.2K services$27.67/svc3.51x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 5.5x markup
$161.9K
2.3K services$70.34/svc5.55x markup
82533Cortisol (hormone) measurement⚠ 4.2x markup
$156.2K
7.2K services$21.62/svc4.16x markup
82670Estradiol (hormone) level⚠ 3.1x markup
$153.3K
4.1K services$36.99/svc3.11x markup
82607Cyanocobalamin (vitamin B-12) level⚠ 3.1x markup
$148.3K
7.4K services$20.01/svc3.10x markup
84443Blood test, thyroid stimulating hormone (TSH)⚠ 3.1x markup
$134.1K
6.0K services$22.28/svc3.10x markup
82627Dehydroepiandrosterone (DHEA-S) hormone level⚠ 3.1x markup
$130.6K
4.4K services$29.44/svc3.09x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 4.4x markup
$124.8K
420 services$297.25/svc4.43x markup
83525Insulin measurement⚠ 3.2x markup
$109.3K
7.2K services$15.16/svc3.23x markup
83789Mass spectrometry (laboratory testing method)⚠ 3.0x markup
$94.7K
4.0K services$23.97/svc3.04x markup
82626Dehydroepiandrosterone (DHEA) hormone level⚠ 3.3x markup
$92.3K
2.7K services$33.58/svc3.34x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 6.5x markup
$87.3K
516 services$169.19/svc6.49x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0483Drug test def 22+ classes31.6K$7.0M$221.613.41x
G0482Drug test def 15-21 classes33.7K$6.6M$196.173.08x
80307Testing for presence of drug48.2K$3.7M$75.943.16x
G0479Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when25.0K$1.9M$77.273.08x
G0481Drug test def 8-14 classes8.9K$1.3M$144.623.12x
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter3.7K$361.2K$96.653.19x
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 not limited to gc/ms (any type, single or tandem) and lc/ms2.8K$316.0K$112.063.07x
84403Testosterone (hormone) level7.3K$248.7K$34.223.07x
84144Progesterone (reproductive hormone) level7.2K$199.2K$27.673.51x
99214Established patient office or other outpatient, visit typically 25 minutes2.3K$161.9K$70.345.55x
82533Cortisol (hormone) measurement7.2K$156.2K$21.624.16x
82670Estradiol (hormone) level4.1K$153.3K$36.993.11x
82607Cyanocobalamin (vitamin B-12) level7.4K$148.3K$20.013.10x
84443Blood test, thyroid stimulating hormone (TSH)6.0K$134.1K$22.283.10x
82627Dehydroepiandrosterone (DHEA-S) hormone level4.4K$130.6K$29.443.09x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance420$124.8K$297.254.43x
83525Insulin measurement7.2K$109.3K$15.163.23x
83789Mass spectrometry (laboratory testing method)4.0K$94.7K$23.973.04x
82626Dehydroepiandrosterone (DHEA) hormone level2.7K$92.3K$33.583.34x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance516$87.3K$169.196.49x

Markup Analysis

Charge-to-Payment Ratio

3.38x

This provider submits charges 3.38 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. This is higher than the national average.

Location

Hendersonville, TN

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data