Medicare Enrolled
Dr. Paul Marsiglia, D.O.
Anesthesiology · Arlington Heights, IL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Marsiglia from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Marsiglia
Dr. Paul Marsiglia is an anesthesiology specialist in Arlington Heights, IL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Marsiglia performed 17,372 Medicare services across 2,610 unique beneficiaries.
Between the years covered by Open Payments, Dr. Marsiglia received a total of $14,035 from 66 pharmaceutical and/or device companies across 451 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Marsiglia is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice
▲ Top 0% volume in IL
$14,035 industry payments
Medicare Practice Summary
Medicare Utilization ↗17,372
Medicare services
Top 0% in IL for anesthesiology
2,610
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,022 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging, lower concentration | 5,314 | $0 | $8 |
| Joint lubricant injection (GenVisc) An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
5,250 | $5 | $24 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,490 | $0 | $8 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,283 | $99 | $315 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
624 | $1 | $25 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
407 | $71 | $240 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
241 | $244 | $1,482 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
205 | $9 | $51 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
197 | $102 | $777 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
167 | $127 | $530 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
133 | $206 | $1,295 |
| Injection, propofol, 10 mg | 130 | $0 | $67 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
129 | $94 | $925 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
88 | $0 | $8 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
84 | $58 | $423 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
79 | $96 | $330 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
79 | $140 | $425 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
74 | $12 | $109 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
72 | $208 | $1,315 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
58 | $204 | $1,402 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
58 | $108 | $1,402 |
| Lactated Ringer's infusion, up to 1000 cc Intravenous administration of Lactated Ringer's solution, a fluid used to replace fluids and electrolytes, in amounts up to 1000 cubic centimeters. |
32 | $2 | $47 |
| New patient office visit, complex (60-74 min) | 27 | $184 | $685 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
25 | $1,452 | $7,150 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
22 | $527 | $3,942 |
| Anesthesia for spine nerve destruction procedure Administration of anesthesia during a procedure to destroy nerves in the lower back or spinal cord, guided by imaging. |
21 | $124 | $1,445 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
21 | $287 | $3,928 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
17 | $48 | $475 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
16 | $11 | $350 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
15 | $141 | $882 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
14 | $145 | $640 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
86.9% medium
13.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,035
Total received (2018-2024)
Avg $2,005/year across 7 years
Top 3% in IL for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
66
Companies
451
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,018 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$17 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,786
2023
$845
2022
$1,737
2021
$1,428
2020
$1,333
2019
$2,823
2018
$4,083
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$560
Abbott Laboratories
$263
Saluda Medical Americas, Inc.
$190
ABBVIE INC.
$149
Collegium Pharmaceutical, Inc.
$146
Fidia Pharma USA Inc.
$94
Medtronic, Inc.
$75
Azurity Pharmaceuticals, Inc.
$63
SI-BONE, INC.
$53
BIOTRONIK NRO, Inc.
$46
SCILEX PHARMACEUTICALS INC.
$33
VERTEX PHARMACEUTICALS INCORPORATED
$26
Spinal Simplicity, LLC
$24
Pacira Pharmaceuticals Incorporated
$21
ConvaTec Inc.
$18
Avanos Medical
$15
SPR Therapeutics, Inc
$10
Top 3 companies account for 56.7% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,505
Nuvectra Corporation
$2,319
Boston Scientific Corporation
$1,690
Relievant Medsystems, Inc.
$1,060
Collegium Pharmaceutical, Inc.
$603
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$395
BOSTON SCIENTIFIC CORPORATION
$346
Medtronic, Inc.
$333
ARBOR PHARMACEUTICALS, INC.
$239
BioDelivery Sciences International, Inc.
$231
Fidia Pharma USA Inc.
$213
Saluda Medical Americas, Inc.
$208
ABBVIE INC.
$190
Allergan, Inc.
$171
PFIZER INC.
$167
Stimwave Technologies Incorporated
$166
DePuy Synthes Sales Inc.
$163
Horizon Therapeutics plc
$153
Flexion Therapeutics, Inc.
$141
Nevro Corp.
$140
Amgen Inc.
$135
Electronic Waveform Lab, Inc.
$134
Azurity Pharmaceuticals, Inc.
$123
Egalet US Inc
$118
SI-BONE, Inc.
$111
FIDIA PHARMA USA INC.
$108
AstraZeneca Pharmaceuticals LP
$107
Orthogenrx Inc.
$106
Novartis Pharmaceuticals Corporation
$99
Avanos Medical
$95
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$79
SI-BONE, INC.
$78
Daiichi Sankyo Inc.
$74
Kowa Pharmaceuticals America, Inc.
$70
SPR Therapeutics, Inc
$68
Pacira Pharmaceuticals Incorporated
$65
Sentynl Therapeutics, Inc.
$64
Radius Health, Inc.
$63
Terumo BCT, Inc.
$62
Assertio Therapeutics, Inc.
$60
Almatica Pharma LLC
$60
GRT US Holding, Inc.
$58
Averitas Pharma Inc.
$57
Arbor Pharmaceuticals, Inc.
$49
BIOTRONIK NRO, Inc.
$46
ASSERTIO THERAPEUTICS, Inc.
$46
Purdue Pharma L.P.
$39
Trevena, Inc.
$37
Lilly USA, LLC
$36
SCILEX PHARMACEUTICALS INC.
$33
Bioventus LLC
$31
Shionogi Inc
$28
VERTEX PHARMACEUTICALS INCORPORATED
$26
Spinal Simplicity, LLC
$24
PAINTEQ LLC
$21
Scilex Pharmaceuticals Inc.
$21
Vertical Pharmaceuticals, LLC
$19
Vertiflex, Inc.
$18
ConvaTec Inc.
$18
Allergan Inc.
$18
Medtronic USA, Inc.
$18
Vertos Medical, Inc.
$17
Pacira Therapeutics, Inc.
$17
Medtronic Vascular, Inc.
$17
Horizon Pharma plc
$14
US WorldMeds, LLC
$14
Top 3 companies account for 46.4% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AQUACEL AG+ EXTRA · ARYMO ER · Advantage System · Aimovig · Algovita · BELBUCA · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · Bone Marrow Aspirate Concentrate System · CONFIDENCE · COOLIEF* COOLED RADIOFREQUENCY · COVEREDGE · Cambia · Click · ClosureFast · Confidense · DUEXIS · Durolane · EMGALITY · ETERNA · Edarbi · Evoke · Evoke SCS · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENVISC 850 SODIUM HYALURONATE · GRALISE · GenVisc 850 · General - Pain Management · HA MINUTEMAN G3-R · HORIZANT · HYMOVIS · Horizant · Hyalgan · Hyalogyn · Hymovis · IFUSE IMPLANT · INTELLIS ADAPTIVESTIM · IONICRF · Intracept · Iovera · KYPHON Balloon Kyphoplasty · LEVORPHANOL TARTRATE · LORZONE · LYRICA · Levorphanol Tartrate · MONOVISC · MOVANTIK · MYOBLOC · Morphabond ER · Movantik · NAPRELAN · Nucynta · Nucynta ER · OLINVYK · ORTHOVISC · OXYCONTIN · Omnia · PAINTEQ · PENNSAID · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · QUTENZA · Qutenza · RAYOS · RELISTOR · RELISTOR ORAL · REYVOW · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SYMPROIC · Seglentis · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion ISS · Symproic · TriVisc sodium hyaluronate · Tymlos · UBRELVY · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · iFuse Implant · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for anesthesiology in IL.
Geographic Context
Anesthesiologists within 10 mi
1,566
Per 100K population
30.2
County median income
$81,797
Nearest hospital
NORTHWEST COMMUNITY HOSPITAL 1
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Marsiglia is a mixed practice specialist, with above-average Medicare volume (top 0% in IL), with low-engagement industry engagement in the top 3% of IL peers, with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Marsiglia experienced with contrast dye for imaging, lower concentration?
Based on Medicare claims data, Dr. Marsiglia performed 5,314 contrast dye for imaging, lower concentration services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Marsiglia receive payments from pharmaceutical companies?
Yes. Dr. Marsiglia received a total of $14,035 from 66 companies across 451 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Marsiglia's costs compare to other anesthesiologists in Arlington Heights?
Dr. Marsiglia's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Marsiglia) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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