Physician

Samuel Mark Spanbauer, D.O.

According to 2025 Medicare claims, Samuel Spanbauer, D.O. (NPI: 1578791935) practices pain management in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is BENEFIS HOSPITALS INC (NPI: 1780968974; TIN: 810232122) and primary practice location at 59405-4324.

Spanbauer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 297 traditional Medicare patients, billed 1,746 HCPCS/CPT codes, and received $99,666 in Medicare payments. The top billing code was 27096 (Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance). Part D data shows 574 prescription claims across 78 beneficiaries totaling $25,010 in drug costs, led by Oxycontin (Oxycodone Hcl). Open Payments data shows 1 records totaling $15. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $60,724 to $99,666. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $12,966 to $25,010. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$65K$130K2015 Medicare payment: $60,724 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $96,343 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $40,140 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $57,059 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $63,111 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $62,440 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $124,788 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $123,015 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $129,975 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $99,666 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015116924$60,724
20161441,516$96,343
2017119533$40,140
2018154799$57,059
2019167880$63,111
2020223902$62,440
20212951,740$124,788
20223061,817$123,015
20233351,948$129,975
20242971,746$99,666

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$22K$45K2015 Drug cost: $12,966 (USD; Tot_Drug_Cst)2016 Drug cost: $13,067 (USD; Tot_Drug_Cst)2017 Drug cost: $18,523 (USD; Tot_Drug_Cst)2018 Drug cost: $44,754 (USD; Tot_Drug_Cst)2019 Drug cost: $41,405 (USD; Tot_Drug_Cst)2020 Drug cost: $21,016 (USD; Tot_Drug_Cst)2021 Drug cost: $26,655 (USD; Tot_Drug_Cst)2022 Drug cost: $26,239 (USD; Tot_Drug_Cst)2023 Drug cost: $23,932 (USD; Tot_Drug_Cst)2024 Drug cost: $25,010 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201554140$12,966
201640137$13,067
201766261$18,523
201877437$44,754
201975492$41,405
2020103646$21,016
2021124719$26,655
2022121823$26,239
2023100741$23,932
202478574$25,010

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance91147$84
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more322529$73
20610Aspiration and/or injection of fluid from large joint98168$25
77002Fluoroscopic guidance for needle placement93156$19
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's162211$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OxycontinOxycodone Hcl13364$3,815
GabapentinGabapentin1303,886$1,644
Morphine Sulfate ErMorphine Sulfate32912$1,261
PregabalinPregabalin1374,261$1,243
Acetaminophen-CodeineAcetaminophen With Codeine16427$629

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$15Avanos Medical
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Samuel Mark Spanbauer, D.O.?

Tedicare shows public-source Medicare data for Samuel Mark Spanbauer, D.O. (NPI 1578791935), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Samuel Mark Spanbauer, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Samuel Mark Spanbauer, D.O.?

Samuel Mark Spanbauer, D.O. is linked to BENEFIS HOSPITALS INC (billing NPI 1780968974) in the available physician profile data.

Does Samuel Mark Spanbauer, D.O. have Open Payments data?

Samuel Mark Spanbauer, D.O. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.