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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarline Guirand
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    Carline Guirand — Billing Profile & Reimbursement Data

    NPI 1083622096 · Brooklyn, NY · Nephrology Physician

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    Carline Guirand is a nephrology physician provider located in Brooklyn, New York. This profile covers 2 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationCarline Guirand
    Address1305 Utica Avenue
    CityBrooklyn
    StateNY
    ZIP11203
    TaxonomyNephrology Physician
    NPI EnumeratedAugust 4, 2006

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

    Payer SourceTotal Paid
    Medicaid$463.5K
    Medicare$192.5K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…490$320$154.9K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…580$70$37.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9096016440160$300$58.7K
    90935241080$60$7.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…18,300$20$439.2K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…1,500$20$24.1K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…10$80$1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…9280210$150$381K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…59440420$70$52.8K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…395030$40$3.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elizabeth KavalerNYUrology Physician$1.7M$0
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    David MobleyNYVascular & Interventional Radiology Physician$826.1K$7.5K
    Ariel LedermanNYRadiation Oncology Physician$806.9K$0
    Sung Yup KimNYVascular Surgery Physician$290.9K$515.6K
    Boris BentsianovNYOtolaryngology Physician$623.2K$123K
    Derek MasonNYDiagnostic Radiology Physician$454K$130.6K
    Trisha YounNYDiagnostic Radiology Physician$536.2K$2.8K
    Chika OguaghaNYSpecialist$181.4K$290.8K
    Amit TibbNYPulmonary Disease Physician$446K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York City Health And Hospitals CorporationNYGeneral Acute Care Hospital$0$178.5M
    University Hospital Of Brooklyn Suny Downstate Health Sciences UniversNYGeneral Acute Care Hospital$0$42.4M
    Ep Home Care LLCNYHome Health Agency$0$18.5M
    Marc RybsteinNYCardiovascular Disease Physician$451K$871.1K
    Sheela MehraNYInternal Medicine Physician$792.2K$13.9K
    Jonah GreenNYPhysical Medicine & Rehabilitation Physician$352.8K$375.8K
    Tsai ChaoNYPhysical Medicine & Rehabilitation Physician$397K$305.8K
    Mohammad AalaiNYPain Medicine (Physical Medicine & Rehabilitation) Physician$649K$9.2K
    Gurinder SidhuNYMedical Oncology Physician$532.9K$12.7K
    Adam BudzikowskiNYClinical Cardiac Electrophysiology Physician$245.8K$149.9K

    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. New York Distribution
    Carline Guirand — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Carline Guirand — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York