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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $193 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
679
Rank: 237th
out of 2,477 providers in this state & specialty
Services
Performed
3,830
Rank: 401st
out of 2,477 providers in this state & specialty
Avg Services
Per Patient
5.6 This Provider
Avg 5.6
Total Paid
by Medicare
$128K
Rank: 362nd
out of 2,477 providers in this state & specialty
Avg Paid
Per Patient
$188 This Provider
Avg $193

Office Visits

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Top Billing

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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.

Marc F. Guerra
Average for Family Practice Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

GARY BENITEZ

JANIS ROWE

ALAN MASSENGILL

ADRIAN HOLTZMAN

VALERIA ANDREWS

Organizations

CALDWELL MEMORIAL HOSPI...

FRYE REGIONAL MEDICAL C...

Patients saw before

Marc F. Guerra

Patients saw after

Individuals

GARY BENITEZ

JANIS ROWE

VALERIA ANDREWS

RICHARD PEARCE

ERIC MEREDITH

Organizations

CALDWELL MEMORIAL HOSPI...

FRYE REGIONAL MEDICAL C...

This Provider's Services

This provider performed 13 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
2,698
times performed,
70% of his services

1st 18th

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

597
patients got this service, 88% of his patients
4.5
average number of visits a patient made for this service
(Peers: 1.8)
$134,900an average of $50 per time performed $91,732
an average of $34 per time performed
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
511
times performed,
13% of his services

2nd 15th

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

336
patients got this service, 49% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$39,347an average of $77 per time performed $26,572
an average of $52 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
315
times performed,
8% of his services

3rd 57th

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

219
patients got this service, 32% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$10,080an average of $32 per time performed $1,890
an average of $6 per time performed
MEDICINE

Multiple measurements and graphic recordings of the amoun... +

Multiple measurements and graphic recordings of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94070
Performed in a facility
57
times performed,
1% of his services

4th Alert

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

40
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
$2,736an average of $48 per time performed $1,254
an average of $22 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in a facility
44
times performed,
1% of his services

5th 280th

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

44
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,760an average of $40 per time performed $440
an average of $10 per time performed
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
44
times performed,
1% of his services

6th 2nd

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

18
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$5,236an average of $119 per time performed $1,012
an average of $23 per time performed
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 a facility
29
times performed,
0.76% of his services

7th 119th

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

24
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$725an average of $25 per time performed $551
an average of $19 per time performed
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
23
times performed,
0.6% of his services

8th 222nd

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,852an average of $124 per time performed $1,771
an average of $77 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
22
times performed,
0.57% of his services

9th Alert

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,276an average of $58 per time performed $374
an average of $17 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
21
times performed,
0.55% of his services

10th 328th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,898an average of $138 per time performed $252
an average of $12 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
18
times performed,
0.47% of his services

11th Alert

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

12
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$1,026an average of $57 per time performed $180
an average of $10 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in a facility
18
times performed,
0.47% of his services

12th 321st

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$342an average of $19 per time performed $126
an average of $7 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-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 implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in a facility
18
times performed,
0.47% of his services

13th 264th

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

14
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$990an average of $55 per time performed $558
an average of $31 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
12
times performed,
0.31% of his services

14th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$120an average of $10 per time performed $72
an average of $6 per time performed

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 2013 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.

Notes: This provider has a self-reported specialty of "Family Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.