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.

Tammy Mcguinn (NPI 1083048193)

Field	Value
Entity Type	Individual
Organization	Tammy Mcguinn
Address	1001 S George St
City	York
State	PA
ZIP	17403
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	August 26, 2013

Payer Source	Total Paid
Medicare	$46.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	170	$120	$19.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	300	$50	$14.8K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	190	$50	$9K
99233	The provider sees a patient for a subsequent 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	$80	$2.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$90	$1K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	10	$20	$280

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Tammy Mcguinn — 2 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	5,096	6,630	70	$90	$12K
99223	425	7,020	40	$130	$7.8K
99222	7,185	7,850	30	$100	$4.3K
99497	17	920	40	$60	$4K
G0316	136	140	40	$20	$1.8K
99498	1	90	20	$50	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Health Medical Services	PA	Family Medicine Physician	$0	$14.1M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Jose Silva	PA	Hematology & Oncology Physician	$549.1K	$8.3K
Henry Venbrux	PA	Anatomic Pathology & Clinical Pathology Physician	$416.5K	$18.3K
Maseer Bade	PA	Vascular Surgery Physician	$343.6K	$0
David Gilbert	PA	Interventional Cardiology Physician	$249.9K	$480
Sergei Chekov	PA	Internal Medicine Physician	$237.3K	$6K
Brett Roberts	PA	Cardiovascular Disease Physician	$231.9K	$0
Andrew Dussinger	PA	Urology Physician	$209.4K	$1.8K
Chinmay Patel	PA	Cardiovascular Disease Physician	$196.9K	$4.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York Hospital	PA	General Acute Care Hospital	$0	$40.7M
Wellspan Medical Group	PA	Pediatrics Physician	$0	$9.9M
Family First Health Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$6.4M
York Hospital	PA	Family Medicine Physician	$0	$6.2M
Haiyun Wang	PA	Hematology & Oncology Physician	$2M	$0
Joyce Huang	PA	Hematology & Oncology Physician	$1.7M	$0
Joseph Kannarkatt	PA	Hematology & Oncology Physician	$1.7M	$0
Chanh Huynh	PA	Hematology & Oncology Physician	$1.4M	$430
Dan Sotirescu	PA	Hematology & Oncology Physician	$1.4M	$0
Apple Hill Surgical Center Partners	PA	Ambulatory Surgical Clinic/Center	$996.2K	$283.1K

Tammy Mcguinn — Billing Profile & Reimbursement Data

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Tammy Mcguinn — 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