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    OpenPayerNPI Medicare & MedicaidJohn Mcguigan
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    John Mcguigan — Billing Profile & Reimbursement Data

    NPI 1073571832 · Norfolk, VA · Orthopaedic Hand Surgery Physician

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    John Mcguigan is a orthopaedic hand surgery physician provider located in Norfolk, Virginia. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Mcguigan
    Address844 Kempsville Rd Ste 104
    CityNorfolk
    StateVA
    ZIP23502
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$107.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    26442In this procedure, the provider performs tenolysis, which releases the flexor tendon of the palm and finger from adhesions. This surgical procedure extends from finger to palm.40$660$29K
    99213The 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…490$50$23.3K
    99203The provider sees a new 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 provider…230$60$13.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…40$280$12.1K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.280$30$6.9K
    99214The 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…80$70$5.7K
    26116The provider excises a subfascial tumor or vascular malformation from the soft tissue of the hand or finger. The resection size is under 1.5 cm.10$390$4.7K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…160$20$3.7K
    20526The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…60$50$3K
    73120X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,…250$10$1.5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2644211030$610$21.9K
    992148,34512,890140$80$21K
    64721259030$420$15.4K
    9921389412,44090$60$10K
    2611621020$400$6.8K
    992045,4216,85040$110$5.9K
    99203994,92030$70$3.8K
    992129312,83030$40$2.3K
    20550935030$40$2.2K
    2052686030$60$2.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lindsey WhiteNCCardiovascular Disease Physician$820.2K$0
    Alan ManietNCCardiovascular Disease Physician$556.2K$0
    Anthony BevilacquaVAOrthopaedic Surgery Physician$385.9K$0
    Sidney SuttonNCFamily Medicine Physician$315.4K$0
    Scott GrabillNCOrthopaedic Surgery Physician$250.8K$0
    Ethan SilverVADiagnostic Radiology Physician$249K$0
    Kerry PartisNCFamily Medicine Physician$221.8K$0
    Joseph McmonagleVADiagnostic Radiology Physician$201.6K$130
    David MalinVADiagnostic Radiology Physician$197.1K$0
    Jared MillerNCSports Medicine (Family Medicine) Physician$183K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$79.7M
    Tremont Road Dental Super, P.C.VAGeneral Practice Dentistry$0$63.5M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Emergency Physicians Of TidewaterVAEmergency Medicine Physician$0$47.9M
    Community Alternative IncVACommunity/Behavioral Health Agency$0$44.3M
    Life's JourneyVAAdult Mental Health Clinic/Center$0$24.4M
    Keys To Success Family & Developmental ServicesVACommunity/Behavioral Health Agency$0$16.1M
    Advantage Home Care, LLCVAHome Health Agency$0$15.7M
    National Counseling Group, IncVAMental Health Counselor$0$14.5M
    Childrens Medical Group IncVAPediatrics Physician$0$9.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    John Mcguigan — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia