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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. Steven Kozmary
⚕️
MDIndividual

Steven Kozmary, MD

NPI: 1659337459
Las Vegas, NV
10 years of data
Interventional Pain Management
$10.9M
Total Payments
42.3K
Beneficiaries
151.5K
Services
13.75x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.9M
Specialty median$206.2K

📋 Key Findings

1Billed $10.9M over 10 years
213.75x markup ratio (above median)
399th percentile in Interventional Pain Management by payments
461 services/day — unusually high
520 procedures with >3x markup

This provider averages 61 services per working day

Based on 151.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.

Their average markup ratio of 13.75x is significantly above the specialty median of 5.0x.

Averaging 61 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

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$487.46$73.566.63x$413.90$1.0M28.7K12.8K
2015$614.82$65.189.43x$549.64$1.1M24.3K9.6K
2016$834.14$88.639.41x$745.51$842.6K8.4K3.4K
2017$865.89$84.6510.23x$781.24$909.2K9.4K4.0K
2018$919.13$93.729.81x$825.41$1.3M15.4K2.9K
2019$769.10$78.739.77x$690.37$1.2M13.7K1.9K
2020$843.51$66.2912.72x$777.22$968.1K11.3K1.3K
2021$974.82$86.5711.26x$888.25$920.1K10.6K1.4K
2022$723.45$82.308.79x$641.15$1.3M14.2K2.4K
2023$843.59$104.458.08x$739.14$1.3M15.5K2.6K

Top Procedures (20)

G0480Drug test(s), definitive, utilizing 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 (an⚠ 22.2x markup
$4.5M
39.6K services$112.97/svc22.18x markup
80307Testing for presence of drug⚠ 8.1x markup
$2.6M
40.9K services$64.04/svc8.05x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.9x markup
$708.7K
9.2K services$77.30/svc4.93x markup
G0483Drug test def 22+ classes⚠ 12.7x markup
$572.1K
2.9K services$197.06/svc12.71x markup
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter⚠ 6.3x markup
$303.0K
3.2K services$95.72/svc6.27x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 4.0x markup
$216.6K
4.2K services$51.32/svc3.96x 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⚠ 6.7x markup
$131.6K
1.7K services$76.43/svc6.74x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 8.2x markup
$129.8K
796 services$163.11/svc8.17x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 6.3x markup
$110.8K
914 services$121.17/svc6.26x markup
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician⚠ 10.2x markup
$102.5K
1.1K services$97.39/svc10.16x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 9.1x markup
$74.9K
590 services$126.95/svc9.12x markup
J3490Unclassified drugs⚠ 6.2x markup
$69.8K
575 services$121.45/svc6.18x markup
G6041Alkaloids, urine, quantitative⚠ 5.0x markup
$63.3K
1.6K services$40.03/svc5.00x markup
82101Urine alkaloids level⚠ 5.5x markup
$62.0K
1.6K services$39.25/svc5.48x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 20.8x markup
$60.1K
1.3K services$48.00/svc20.83x markup
G6046Dihydromorphinone⚠ 5.8x markup
$54.1K
1.6K services$34.28/svc5.83x markup
82649Dihydromorphinone (drug) level⚠ 3.2x markup
$52.9K
1.6K services$33.47/svc3.17x markup
G6045Dihydrocodeinone⚠ 7.3x markup
$43.5K
1.6K services$27.54/svc7.26x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 10.3x markup
$41.9K
318 services$131.61/svc10.35x markup
G6056Opiate(s), drug and metabolites, each procedure⚠ 7.7x markup
$41.0K
1.6K services$25.95/svc7.71x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0480Drug test(s), definitive, utilizing 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 (an39.6K$4.5M$112.9722.18x
80307Testing for presence of drug40.9K$2.6M$64.048.05x
99214Established patient office or other outpatient, visit typically 25 minutes9.2K$708.7K$77.304.93x
G0483Drug test def 22+ classes2.9K$572.1K$197.0612.71x
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter3.2K$303.0K$95.726.27x
99213Established patient office or other outpatient visit, typically 15 minutes4.2K$216.6K$51.323.96x
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 when1.7K$131.6K$76.436.74x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance796$129.8K$163.118.17x
99204New patient office or other outpatient visit, typically 45 minutes914$110.8K$121.176.26x
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician1.1K$102.5K$97.3910.16x
64493Injections of lower or sacral spine facet joint using imaging guidance590$74.9K$126.959.12x
J3490Unclassified drugs575$69.8K$121.456.18x
G6041Alkaloids, urine, quantitative1.6K$63.3K$40.035.00x
82101Urine alkaloids level1.6K$62.0K$39.255.48x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1.3K$60.1K$48.0020.83x
G6046Dihydromorphinone1.6K$54.1K$34.285.83x
82649Dihydromorphinone (drug) level1.6K$52.9K$33.473.17x
G6045Dihydrocodeinone1.6K$43.5K$27.547.26x
64490Injections of upper or middle spine facet joint using imaging guidance318$41.9K$131.6110.35x
G6056Opiate(s), drug and metabolites, each procedure1.6K$41.0K$25.957.71x

Markup Analysis

Charge-to-Payment Ratio

13.75x

This provider submits charges 13.75 times higher than what Medicare actually pays.

What This Means

A markup ratio of 13.75x means for every $100 Medicare pays, this provider initially charges $1375. This is higher than the national average.

Location

Las Vegas, NV

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.

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