Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $304 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
543
Rank: 868th
out of 7,642 providers in this state & specialty
Services
Performed
3,457
Rank: 1094th
out of 7,642 providers in this state & specialty
Avg Services
Per Patient
6.4 This Provider
Avg 7
Total Paid
by Medicare
$161K
Rank: 1229th
out of 7,642 providers in this state & specialty
Avg Paid
Per Patient
$296 This Provider
Avg $304

Note: About 16% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 46 different services in 2015
(32 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 25 minutes ×

Service Code: 99214
Performed in an office
1,415
times performed,
41% of his services

1st 2nd

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

491
patients got this service, 90% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.4)
$322,237.95an average of $227.73 per time performed $105,176.95
an average of $74.33 per time performed
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
239
times performed,
7% of his services

2nd 1st

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

172
patients got this service, 32% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.6)
$37,142.99an average of $155.41 per time performed $12,186.61
an average of $50.99 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
207
times performed,
6% of his services

3rd 75th

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

204
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,589.00an average of $27.00 per time performed $3,628.71
an average of $17.53 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
204
times performed,
6% of his services

4th 8th

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

201
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,304.00an average of $26.00 per time performed $5,197.92
an average of $25.48 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
159
times performed,
5% of his services

5th 17th

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

153
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,180.00an average of $20.00 per time performed $3,116.40
an average of $19.60 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
107
times performed,
3% of his services

6th 19th

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

104
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,145.00an average of $235.00 per time performed $17,648.58
an average of $164.94 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
53
times performed,
2% of his services

7th 88th

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

53
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,519.00an average of $123.00 per time performed $4,267.56
an average of $80.52 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
51
times performed,
1% of his services

8th 154th

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

49
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,683.00an average of $33.00 per time performed $279.99
an average of $5.49 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
38
times performed,
1% of his services

9th 70th

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

30
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$380.00an average of $10.00 per time performed $113.24
an average of $2.98 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
26
times performed,
0.75% of his services

10th 15th

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

12
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.8)
$1,144.00an average of $44.00 per time performed $451.62
an average of $17.37 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
25
times performed,
0.72% of his services

11th 49th

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,675.00an average of $387.00 per time performed $3,116.00
an average of $124.64 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
22
times performed,
0.64% of his services

12th 114th

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

20
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,146.00an average of $143.00 per time performed $994.84
an average of $45.22 per time performed
medical
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
14
times performed,
0.4% of his services

13th 293rd

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$714.00an average of $51.00 per time performed $173.32
an average of $12.38 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
11
times performed,
0.32% of his services

14th 90th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,166.00an average of $106.00 per time performed $448.58
an average of $40.78 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.

This provider did not bill Medicare for any 5’s.

1234512345
Ethelwoldo Pascual Guerrero
Average for Internal Medicine Providers in California

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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. 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.