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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Michael Mcguire (NPI 1043356066)

Field	Value
Entity Type	Individual
Organization	Michael Mcguire
Address	770 W Lincoln Hwy
City	Exton
State	PA
ZIP	19341
Taxonomy	Family Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicare	$197.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 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…	640	$90	$57K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	330	$130	$44.4K
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…	100	$280	$29K
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…	200	$60	$12.6K
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…	160	$70	$11.3K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	370	$20	$7.1K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	30	$230	$6.6K
G0444	Annual depression screening, 5 to 15 minutes	330	$20	$6.3K
G0008	Administration of influenza virus vaccine	160	$30	$5.2K
G0009	Administration of pneumococcal vaccine	100	$30	$3.3K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Michael Mcguire — 6 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,010	23,230	100	$80	$14.5K
G0439	102	5,250	60	$110	$9.5K
99213	4,277	22,370	70	$60	$7.7K
90677	46	2,940	20	$280	$7.2K
99496	216	990	20	$180	$4.3K
90662	224	4,190	40	$70	$4.3K
99203	4,254	7,330	30	$70	$3.5K
36415	2,317	2,340	80	$10	$3.2K
G0438	444	1,020	20	$130	$3.1K
99495	806	1,550	20	$130	$3.1K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Belfiglio	PA	Family Medicine Physician	$323.9K	$0
Monica Norris	PA	Family Medicine Physician	$172.7K	$0
Karen Squire	PA	Family Medicine Physician	$150.6K	$0
Alpa Vadher	PA	Family Medicine Physician	$144.1K	$0
Valerie Mcauley	PA	Family Medicine Physician	$143.5K	$0
Charles Catania	PA	Family Medicine Physician	$134.9K	$0
Shawn Potteiger	PA	Internal Medicine Physician	$127.3K	$0
Vitasta Bamezai	PA	Internal Medicine Physician	$120K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$30.4M
Chester County Home Care Associates, LLC	PA	Home Health Agency	$0	$13.6M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$8.9M
Eye Surgery Center Of Chester County, LLC	PA	Ambulatory Surgical Clinic/Center	$2.4M	$0
Joshua Cantor	PA	Anatomic Pathology & Clinical Pathology Physician	$2.2M	$140.6K
Sucharitha Shanmugam	PA	Rheumatology Physician	$1.8M	$0
Aerlyn Dawn	PA	Dermatology Physician	$1.2M	$0
Scott Gottlieb	PA	Dermatology Physician	$1.1M	$0
Michael Lehrer	PA	MOHS-Micrographic Surgery Physician	$859.6K	$0
Premier At Exton Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$839.6K	$3.3K

Michael Mcguire — 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