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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Timothy Mcguire (NPI 1053368944)

Field	Value
Entity Type	Individual
Organization	Timothy Mcguire
Address	1850 W Arlington Blvd
City	Greenville
State	NC
ZIP	27834
Taxonomy	Surgery Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicare	$61.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	180	$90	$16.5K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	30	$490	$16.3K
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	30	$410	$11.9K
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…	100	$70	$6.4K
99204	The provider sees a new 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 provider…	40	$120	$4.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	130	$20	$2.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	150	$10	$1.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	170	$10	$1.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	150	$10	$1.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	$10	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Timothy Mcguire — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	573	1,400	100	$10	$16.5K
99214	6,438	18,060	110	$80	$15.1K
85025	652	1,920	80	$10	$7.4K
99213	6,388	16,320	70	$50	$7.1K
49505	1	40	10	$420	$6.7K
36415	1,157	3,490	90	$10	$6.4K
47562	1	80	10	$430	$6.4K
99204	3,276	8,430	30	$110	$4.8K
83036	2,360	2,740	60	$10	$4K
71046	517	2,300	40	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duncan Fagundus	NC	Rheumatology Physician	$1.8M	$0
Maria Picton	NC	Hematology & Oncology Physician	$1.4M	$0
Michael Watterson	NC	Rheumatology Physician	$669.3K	$2.6K
Steven Hamstead	NC	Internal Medicine Physician	$557.2K	$0
Jayesh Patel	NC	Cardiovascular Disease Physician	$514K	$0
Jonathan Taylor	NC	Urology Physician	$506.7K	$0
Heather White	NC	Hematology & Oncology Physician	$502.4K	$0
John Fogarty	NC	Pulmonary Disease Physician	$467.9K	$0
Mark Warren	NC	Endocrinology, Diabetes & Metabolism Physician	$450.7K	$0
Richard Pippin	NC	Internal Medicine Physician	$436.6K	$0

Timothy Mcguire — Billing Profile & Reimbursement Data

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Timothy 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

Frequently Asked Questions

References