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Treatment Tracker

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2014.

Number of
Patients
636
Services
Performed
4,087
Avg Services
Per Patient
6.4
Total Paid
by Medicare
$161K
Avg Paid
Per Patient
$253

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.

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 in 2014.

Individuals

GARY BENITEZ

JANIS ROWE

CHANDRA BAKER

ADRIAN HOLTZMAN

JILL KONKOL

Organizations

CALDWELL MEMORIAL HOSPI...

FRYE REGIONAL MEDICAL C...

Patients saw before

Marc F Guerra M.D.

Patients saw after

Individuals

GARY BENITEZ

JILL KONKOL

JANIS ROWE

RICHARD PEARCE

CHANDRA BAKER

Organizations

CALDWELL MEMORIAL HOSPI...

FRYE REGIONAL MEDICAL C...

This Provider's Services

This provider performed 68 different services in 2014
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
2,226
times performed,
54% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

444
patients got this service, 70% of his patients
5
average number of visits a patient made for this service
$119,202an average of $54 per time performed $77,732
an average of $35 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
975
times performed,
24% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

435
patients got this service, 68% of his patients
2.2
average number of visits a patient made for this service
$90,704an average of $93 per time performed $52,640
an average of $54 per time performed
medical
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
234
times performed,
6% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

166
patients got this service, 26% of his patients
1.4
average number of visits a patient made for this service
$7,488an average of $32 per time performed $1,402
an average of $6 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
77
times performed,
2% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

24
patients got this service, 4% of his patients
3.2
average number of visits a patient made for this service
$11,165an average of $145 per time performed $1,532
an average of $20 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
65
times performed,
2% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 4% of his patients
2.3
average number of visits a patient made for this service
$12,610an average of $194 per time performed $2,346
an average of $36 per time performed
medical
NA

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in a facility
52
times performed,
1% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

45
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$9,960an average of $192 per time performed $6,367
an average of $122 per time performed
medical
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
45
times performed,
1% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

42
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$2,835an average of $63 per time performed $262
an average of $6 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 a facility
39
times performed,
0.95% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
$1,014an average of $26 per time performed $702
an average of $18 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in a facility
35
times performed,
0.86% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$1,400an average of $40 per time performed $346
an average of $10 per time performed
medical
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
26
times performed,
0.64% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$398an average of $15 per time performed $195
an average of $8 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
22
times performed,
0.54% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$3,317an average of $151 per time performed $1,801
an average of $82 per time performed
medical
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 im ×

Service Code: G0179
Performed in a facility
22
times performed,
0.54% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.8
average number of visits a patient made for this service
$2,068an average of $94 per time performed $645
an average of $29 per time performed
medical
PROCEDURES

Smoking and tobacco cessation counseling visit for the as... +

Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes ×

Service Code: G0436
Performed in a facility
22
times performed,
0.54% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$660an average of $30 per time performed $255
an average of $12 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in a facility
20
times performed,
0.49% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$3,999an average of $200 per time performed $2,138
an average of $107 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
15
times performed,
0.37% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,656an average of $177 per time performed $980
an average of $65 per time performed
medical
NA

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in a facility
13
times performed,
0.32% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.1
average number of visits a patient made for this service
$1,716an average of $132 per time performed $1,100
an average of $85 per time performed
medical
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in a facility
13
times performed,
0.32% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$365an average of $28 per time performed $338
an average of $26 per time performed
medical
SKIN, HAIR AND NAILS

Removal of growth (1.1 to 2.0 centimeters) of the trunk, ... +

Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs ×

Service Code: 11402
Performed in a facility
12
times performed,
0.29% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,443an average of $120 per time performed $752
an average of $63 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.

Marc F Guerra
Average for Family Medicine Providers in North Carolina

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 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.

Read our methodology.