Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » New Jersey » Toms river

RALPH GUARINO MD

160 STATE HIGHWAY 37 WEST SUITE A DEER CHASE PROFESSIONAL PARK, TOMS RIVER, NJ, 08755 | (732) 286-0440

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $347 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
1,577
Rank: 10th
out of 2,814 providers in this state & specialty
Services
Performed
20,840
Rank: 17th
out of 2,814 providers in this state & specialty
Avg Services
Per Patient
13.2 This Provider is in the top 10%
Avg 6.8
Total Paid
by Medicare
$592K
Rank: 19th
out of 2,814 providers in this state & specialty
Avg Paid
Per Patient
$376 This Provider
Avg $347

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 74 different services in 2015
(29 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
3,563
times performed,
17% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

1,310
patients got this service, 83% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$285,146.89an average of $80.03 per time performed $189,801.01
an average of $53.27 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
1,681
times performed,
8% of his services

2nd 4th

most performed service for this provider most performed service in this state & specialty

1,036
patients got this service, 66% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$5,059.81an average of $3.01 per time performed $4,942.14
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,518
times performed,
7% of his services

3rd 31st

most performed service for this provider most performed service in this state & specialty

1,007
patients got this service, 64% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$21,312.72an average of $14.04 per time performed $16,303.32
an average of $10.74 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,515
times performed,
7% of his services

4th 24th

most performed service for this provider most performed service in this state & specialty

992
patients got this service, 63% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$18,467.85an average of $12.19 per time performed $15,710.55
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,457
times performed,
7% of his services

5th 29th

most performed service for this provider most performed service in this state & specialty

983
patients got this service, 62% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$24,273.62an average of $16.66 per time performed $18,533.04
an average of $12.72 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
1,406
times performed,
7% of his services

6th 37th

most performed service for this provider most performed service in this state & specialty

976
patients got this service, 62% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$34,278.28an average of $24.38 per time performed $31,508.46
an average of $22.41 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
870
times performed,
4% of his services

7th 141st

most performed service for this provider most performed service in this state & specialty

325
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$5,872.50an average of $6.75 per time performed $3,488.70
an average of $4.01 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
761
times performed,
4% of his services

8th 3rd

most performed service for this provider most performed service in this state & specialty

196
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3)
$64,548.02an average of $84.82 per time performed $44,632.65
an average of $58.65 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
656
times performed,
3% of his services

9th 65th

most performed service for this provider most performed service in this state & specialty

543
patients got this service, 34% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$8,665.76an average of $13.21 per time performed $7,885.12
an average of $12.02 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
605
times performed,
3% of his services

10th 32nd

most performed service for this provider most performed service in this state & specialty

604
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,890.00an average of $18.00 per time performed $9,347.25
an average of $15.45 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
605
times performed,
3% of his services

11th 8th

most performed service for this provider most performed service in this state & specialty

604
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,150.00an average of $30.00 per time performed $16,649.60
an average of $27.52 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
502
times performed,
2% of his services

12th 17th

most performed service for this provider most performed service in this state & specialty

354
patients got this service, 22% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.6)
$15,060.00an average of $30.00 per time performed $9,427.56
an average of $18.78 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
480
times performed,
2% of his services

13th 39th

most performed service for this provider most performed service in this state & specialty

326
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$6,720.00an average of $14.00 per time performed $6,216.00
an average of $12.95 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
438
times performed,
2% of his services

14th 41st

most performed service for this provider most performed service in this state & specialty

58
patients got this service, 4% of his patients
7.6
average number of visits a patient made for this service
(Peers: 6.3)
$2,628.00an average of $6.00 per time performed $2,295.12
an average of $5.24 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
407
times performed,
2% of his services

15th 2nd

most performed service for this provider most performed service in this state & specialty

376
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$48,880.70an average of $120.10 per time performed $33,691.46
an average of $82.78 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
383
times performed,
2% of his services

16th 23rd

most performed service for this provider most performed service in this state & specialty

58
patients got this service, 4% of his patients
6.6
average number of visits a patient made for this service
(Peers: 1.7)
$21,065.00an average of $55.00 per time performed $12,750.07
an average of $33.29 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
308
times performed,
1% of his services

17th 9th

most performed service for this provider most performed service in this state & specialty

290
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$7,780.08an average of $25.26 per time performed $4,194.96
an average of $13.62 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
214
times performed,
1% of his services

18th 20th

most performed service for this provider most performed service in this state & specialty

173
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$32,149.22an average of $150.23 per time performed $23,809.64
an average of $111.26 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
212
times performed,
1% of his services

19th 152nd

most performed service for this provider most performed service in this state & specialty

192
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$5,936.00an average of $28.00 per time performed $5,200.36
an average of $24.53 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
193
times performed,
0.93% of his services

20th 26th

most performed service for this provider most performed service in this state & specialty

152
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$16,435.88an average of $85.16 per time performed $11,344.54
an average of $58.78 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
186
times performed,
0.89% of his services

21st 213th

most performed service for this provider most performed service in this state & specialty

168
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,348.50an average of $7.25 per time performed $671.46
an average of $3.61 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
183
times performed,
0.88% of his services

22nd 18th

most performed service for this provider most performed service in this state & specialty

183
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,495.49an average of $30.03 per time performed $5,036.16
an average of $27.52 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
143
times performed,
0.69% of his services

23rd 48th

most performed service for this provider most performed service in this state & specialty

143
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,485.03an average of $185.21 per time performed $16,974.10
an average of $118.70 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
142
times performed,
0.68% of his services

24th 22nd

most performed service for this provider most performed service in this state & specialty

142
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$27,039.64an average of $190.42 per time performed $24,095.98
an average of $169.69 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
118
times performed,
0.57% of his services

25th 101st

most performed service for this provider most performed service in this state & specialty

104
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,700.00an average of $150.00 per time performed $12,872.62
an average of $109.09 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
107
times performed,
0.51% of his services

26th 62nd

most performed service for this provider most performed service in this state & specialty

99
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,459.59an average of $60.37 per time performed $4,701.58
an average of $43.94 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
106
times performed,
0.51% of his services

27th 125th

most performed service for this provider most performed service in this state & specialty

85
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$721.86an average of $6.81 per time performed $491.84
an average of $4.64 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
96
times performed,
0.46% of his services

28th 59th

most performed service for this provider most performed service in this state & specialty

85
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$8,160.00an average of $85.00 per time performed $5,714.88
an average of $59.53 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
81
times performed,
0.39% of his services

29th 193rd

most performed service for this provider most performed service in this state & specialty

81
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,305.26an average of $28.46 per time performed $1,986.93
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
76
times performed,
0.36% of his services

30th 76th

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$342.00an average of $4.50 per time performed $320.72
an average of $4.22 per time performed
medical
PROCEDURES

Ultrasound b-scan and/or real time with image documentati... +

Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening ×

Service Code: G0389
Performed in an office
73
times performed,
0.35% of his services

31st 219th

most performed service for this provider most performed service in this state & specialty

73
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,400.31an average of $142.47 per time performed $8,997.98
an average of $123.26 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
72
times performed,
0.35% of his services

32nd 68th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$751.68an average of $10.44 per time performed $679.68
an average of $9.44 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
61
times performed,
0.29% of his services

33rd 81st

most performed service for this provider most performed service in this state & specialty

60
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,225.20an average of $233.20 per time performed $10,287.04
an average of $168.64 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
60
times performed,
0.29% of his services

34th 99th

most performed service for this provider most performed service in this state & specialty

53
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,320.00an average of $22.00 per time performed $1,206.00
an average of $20.10 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
57
times performed,
0.27% of his services

35th 123rd

most performed service for this provider most performed service in this state & specialty

53
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$541.50an average of $9.50 per time performed $491.91
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
52
times performed,
0.25% of his services

36th 122nd

most performed service for this provider most performed service in this state & specialty

48
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$650.00an average of $12.50 per time performed $606.32
an average of $11.66 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
43
times performed,
0.21% of his services

37th 266th

most performed service for this provider most performed service in this state & specialty

42
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$297.56an average of $6.92 per time performed $180.60
an average of $4.20 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
42
times performed,
0.2% of his services

38th 67th

most performed service for this provider most performed service in this state & specialty

42
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,730.02an average of $88.81 per time performed $3,378.06
an average of $80.43 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
42
times performed,
0.2% of his services

39th 113th

most performed service for this provider most performed service in this state & specialty

33
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,570.00an average of $85.00 per time performed $2,489.76
an average of $59.28 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
41
times performed,
0.2% of his services

40th 75th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$127.10an average of $3.10 per time performed $18.86
an average of $0.46 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
40
times performed,
0.19% of his services

41st 7th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 5.6)
$3,400.00an average of $85.00 per time performed $2,194.40
an average of $54.86 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation or inpatient care moderate severity,... +

Hospital observation or inpatient care moderate severity, 50 minutes per day' ×

Service Code: 99235
Performed in a facility
18
times performed,
0.09% of his services

42nd 284th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,600.00an average of $200.00 per time performed $2,399.04
an average of $133.28 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
16
times performed,
0.08% of his services

43rd 79th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$960.00an average of $60.00 per time performed $621.60
an average of $38.85 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity

Service Code: 76770
Performed in an office
13
times performed,
0.06% of his services

44th 207th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 0.82% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,275.00an average of $175.00 per time performed $607.23
an average of $46.71 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
12
times performed,
0.06% of his services

45th 105th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 0.76% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$54.00an average of $4.50 per time performed $50.64
an average of $4.22 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Ralph Victor Guarino
Average for Internal Medicine Providers in New Jersey

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.