Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $334 per patient in 2015.
They performed about 8 services per patient. Here’s how this provider compares.

Number of
Patients
531
Rank: 23rd
out of 76 providers in this state & specialty
Services
Performed
2,645
Rank: 35th
out of 76 providers in this state & specialty
Avg Services
Per Patient
5 This Provider
Avg 8.2
Total Paid
by Medicare
$162K
Rank: 29th
out of 76 providers in this state & specialty
Avg Paid
Per Patient
$305 This Provider
Avg $334

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 38 different services in 2015
(19 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 a facility
835
times performed,
32% of his services

1st 4th

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

352
patients got this service, 66% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.1)
$86,230.45an average of $103.27 per time performed $27,822.20
an average of $33.32 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in a facility
214
times performed,
8% of his services

2nd 15th

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

112
patients got this service, 21% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$183,295.28an average of $856.52 per time performed $21,727.42
an average of $101.53 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in a facility
159
times performed,
6% of his services

3rd 6th

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

96
patients got this service, 18% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$92,436.24an average of $581.36 per time performed $10,234.83
an average of $64.37 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in a facility
125
times performed,
5% of his services

4th 30th

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

75
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$76,531.25an average of $612.25 per time performed $9,823.75
an average of $78.59 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 a facility
123
times performed,
5% of his services

5th 32nd

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

123
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,130.05an average of $269.35 per time performed $11,648.10
an average of $94.70 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in a facility
123
times performed,
5% of his services

6th 59th

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

72
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$94,595.61an average of $769.07 per time performed $12,438.99
an average of $101.13 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in a facility
120
times performed,
5% of his services

7th 68th

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

70
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$59,058.00an average of $492.15 per time performed $7,134.00
an average of $59.45 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
116
times performed,
4% of his services

8th 29th

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

69
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$80,819.52an average of $696.72 per time performed $10,791.48
an average of $93.03 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
112
times performed,
4% of his services

9th 36th

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

67
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$60,739.84an average of $542.32 per time performed $6,289.92
an average of $56.16 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in a facility
106
times performed,
4% of his services

10th 87th

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

64
patients got this service, 12% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$51,539.32an average of $486.22 per time performed $6,454.34
an average of $60.89 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64484
Performed in a facility
101
times performed,
4% of his services

11th 43rd

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

46
patients got this service, 9% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.8)
$74,131.98an average of $733.98 per time performed $5,021.72
an average of $49.72 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
97
times performed,
4% of his services

12th 53rd

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

59
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$54,230.76an average of $559.08 per time performed $5,573.62
an average of $57.46 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in a facility
73
times performed,
3% of his services

13th 42nd

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

63
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$10,939.05an average of $149.85 per time performed $1,306.70
an average of $17.90 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64479
Performed in a facility
53
times performed,
2% of his services

14th 108th

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

33
patients got this service, 6% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$44,922.80an average of $847.60 per time performed $6,229.62
an average of $117.54 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in a facility
43
times performed,
2% of his services

15th 41st

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

24
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$13,133.92an average of $305.44 per time performed $1,589.28
an average of $36.96 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 a facility
36
times performed,
1% of his services

16th 13th

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

35
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$6,055.92an average of $168.22 per time performed $1,960.92
an average of $54.47 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64480
Performed in a facility
29
times performed,
1% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MO perform this service

14
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$20,739.93an average of $715.17 per time performed $1,817.72
an average of $62.68 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in a facility
23
times performed,
0.87% of his services

18th 35th

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

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$19,176.94an average of $833.78 per time performed $1,491.32
an average of $64.84 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in a facility
13
times performed,
0.49% of his services

19th 46th

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$19,957.99an average of $1,535.23 per time performed $3,160.04
an average of $243.08 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.

Anthony H Guarino
Average for Pain Medicine Providers in Missouri

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.

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