Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jose Guerra (NPI 1043259039)

Field	Value
Entity Type	Individual
Organization	Jose Guerra
Address	11 Shore Rd
City	Winchester
State	MA
ZIP	01890
Taxonomy	Adolescent Medicine (Family Medicine) Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$78.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	280	$100	$27.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	$150	$19.7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	80	$190	$13.9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	10	$280	$3.9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	50	$70	$3.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50	$70	$3.6K
G0444	Annual depression screening, 5 to 15 minutes	110	$20	$2.3K
G0008	Administration of influenza virus vaccine	50	$30	$1.8K
G0180	Physician or allowed practitioner 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…	20	$40	$820
G0009	Administration of pneumococcal vaccine	10	$30	$440

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Jose Guerra — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,151	15,410	110	$80	$15.6K
G0439	808	3,350	70	$120	$11.9K
99213	8,110	13,700	70	$60	$8.8K
90677	1,387	1,810	20	$280	$7.7K
90662	940	2,190	40	$70	$5.1K
G0438	13	550	20	$160	$3.8K
G0008	1,484	3,490	40	$30	$3.5K
93000	1,420	2,030	30	$10	$1.6K
G0444	226	890	60	$20	$1.5K
G0180	603	920	30	$40	$1.4K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jose Guerra, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lahey Clinic, Inc.	MA	Internal Medicine Physician	$0	$5.7M
Kirubakaran Siva	MA	Family Medicine Physician	$773.7K	$1.7K
Chieke Udom	MA	Hospitalist Physician	$629.2K	$0
Kyu Kim	MA	Rheumatology Physician	$628.4K	$0
Vrishali Suman	RI	Family Medicine Physician	$180	$503.3K
Joshua Tarkan	MA	Nephrology Physician	$477.6K	$0
Mohammed Jaleel	MA	Internal Medicine Physician	$449.5K	$0
Hong Jun Yun	IL	Interventional Cardiology Physician	$432.4K	$15.9K
Paul D'ambrosio	MA	Internal Medicine Physician	$253.6K	$107.5K
Deborah Shih	MA	Internal Medicine Physician	$341.6K	$30

Nearby Providers

Other providers in the same ZIP code as Jose Guerra, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winchester Hospital	MA	General Acute Care Hospital	$0	$30.2M
Michael Kim	MA	Emergency Medicine Physician	$1M	$0
Robert O'brien	MA	Dermatology Physician	$711.2K	$40.6K
Joshua Shofner	MA	Dermatology Physician	$613.9K	$1.2K
May Azar	MA	Cytopathology Physician	$303.5K	$146.8K
Christopher Kareores	MA	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$78.4K	$193.8K
Kathleen Greco	MA	Procedural Dermatology Physician	$266.6K	$0
Jyotirmay Chanda	MA	Internal Medicine Physician	$214.3K	$0
Laura Harris	MA	Anatomic Pathology & Clinical Pathology Physician	$86.6K	$102.3K
Winchester Hospital - Shields Mri LLC	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$175.8K	$10.1K

Jose Guerra — Billing Profile & Reimbursement Data

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Jose Guerra — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References