Loading...
NPI 1063539211 · Oak Lawn, IL · Gynecologic Oncology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Alfred Guirguis is a gynecologic oncology physician provider located in Oak Lawn, Illinois. This profile covers 30 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alfred Guirguis |
| Address | 6700 W 95th St |
| City | Oak Lawn |
| State | IL |
| ZIP | 60453 |
| Taxonomy | Gynecologic Oncology Physician |
| NPI Enumerated | March 23, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $418.1K |
| Medicaid | $760 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 5,800 | $40 | $243.6K |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 410 | $90 | $35.5K |
| 58571 | The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports… | 40 | $780 | $31.9K |
| 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… | 270 | $90 | $24.2K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 170 | $140 | $23.6K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 150 | $110 | $15.4K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 30 | $180 | $5.9K |
| 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 | $140 | $5.3K |
| 38570 | The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and… | 20 | $220 | $5.2K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 30 | $140 | $3.9K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9271 | 83 | 110 | 11,600 | $40 | $564.2K |
| J2506 | 25 | 70 | 320 | $80 | $32.9K |
| J3490 | 82 | 140 | 50 | $210 | $19.4K |
| 96413 | 172 | 370 | 130 | $100 | $19.3K |
| 99233 | 5,141 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 4,584 | 18,540 | 110 | $80 | $17.1K |
| 58571 | 1 | 30 | 20 | $650 | $11.6K |
| 99223 | 4,228 | 6,190 | 50 | $140 | $10.4K |
| 99215 | 732 | 6,240 | 40 | $120 | $10.1K |
| 99213 | 13,415 | 17,390 | 70 | $60 | $8.8K |
Showing 1–10 of 30
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 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… | 10 | $60 | $770 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 13,831 | 14,680 | 300 | $50 | $48.7K |
Other providers in the same ZIP code as Alfred Guirguis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Village Of Oak Lawn | IL | Land Ambulance | $649.5K | $11.6M |
| Oda Solutions, Inc | IL | Methadone Clinic | $0 | $9.7M |
| Mazen Rachid | IL | Pediatrics Physician | $0 | $5.1M |
| Ahmed Ramaha | IL | General Practice Dentistry | $0 | $4.9M |
| Omprakash Sawlani | IL | Pediatrics Physician | $0 | $3.3M |
| Sunil Shah | IL | Internal Medicine Physician | $256.6K | $1.6M |
| Chintan Mistry | IL | Emergency Medicine Physician | $301K | $1.5M |
| Ashraf Abourahma | IL | Cardiovascular Disease Physician | $406.9K | $731.9K |
| Mohamad Barakat | IL | Nephrology Physician | $528.6K | $463.4K |
| Charles Berkelhammer | IL | Specialist | $239.7K | $727K |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.