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    OpenPayerNPI Medicare & MedicaidGuillermo Nava
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    Guillermo Nava — Billing Profile & Reimbursement Data

    NPI 1083722524 · Orlando, FL · Cardiovascular Disease Physician

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    Guillermo Nava is a cardiovascular disease physician provider located in Orlando, Florida. This profile covers 19 Medicare and 8 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
    OrganizationGuillermo Nava
    Address1745 N Mills Ave
    CityOrlando
    StateFL
    ZIP32803
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 25, 2006

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

    Payer SourceTotal Paid
    Medicare$113.6K
    Medicaid$23.3K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…350$90$29.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…230$60$13.7K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…140$80$11.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…100$110$10.6K
    93355The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…50$170$8.1K
    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…140$50$7.3K
    99204The 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…60$100$5.5K
    99223The 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…40$130$4.5K
    92960In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.50$80$4.2K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose40$90$3.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    784524841,33070$250$25.3K
    933069822,220190$100$25.2K
    992148,43032,760140$90$25K
    992338,2509,970100$90$20.1K
    992329,79113,090120$60$17.5K
    A9500510630120$90$17.3K
    992237,05211,11060$130$12.5K
    9921311,08130,01080$60$12K
    992046,62819,04040$110$7K
    992226,7748,97030$100$6K

    Showing 1–10 of 19

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…330$20$6.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…160$40$5.7K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…110$40$4.4K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…240$10$1.9K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…140$10$1.8K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…140$10$1.6K
    99204The 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…20$60$870
    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…40$20$620

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,3095,930460$40$169.3K
    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…5,4486,380430$50$139.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…427680340$70$98.7K
    99204The 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…1,5741,85090$110$71.5K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…7616090$160$49.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…305700160$10$6.5K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…114030$10$3K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…124050$10$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Thomas Medical PartnersTNInternal Medicine Physician$0$21.9M
    Oghenerukevwe OdieteGAInterventional Cardiology Physician$1.2M$0
    Mark HendrixsonTNMedical Oncology Physician$1.1M$56.4K
    Martin EspinosaFLClinical Cardiac Electrophysiology Physician$907.2K$0
    Stephen FahrigTNClinical Cardiac Electrophysiology Physician$441.2K$0
    James BakerTNClinical Cardiac Electrophysiology Physician$401.6K$0
    Oran AaronsonTNNeurological Surgery Physician$382.7K$0
    Ricardo LugoTNClinical Cardiac Electrophysiology Physician$355K$0
    Brian O'shaughnessyTNNeurological Surgery Physician$353.1K$0
    Robert PickettTNClinical Cardiac Electrophysiology Physician$350K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adventist Health System-sunbelt, IncFLGeneral Acute Care Hospital$0$173.7M
    Florida Hospital Medical Group IncFLFamily Medicine Physician$0$71.2M
    Florida Emergency Physicians Kang And Associates Md LLCFLEmergency Medical Services (Emergency Medicine) Physician$0$58.5M
    Vaxcare LLCFLFamily Medicine Physician$45.5M$780
    Adventist Health System-sunbelt, IncFLClinical Medical Laboratory$0$28.2M
    Florida Dental Team, LLCFLPediatric Dentistry$0$28.1M
    Orlando Childrens Surgery Center LLCFLAmbulatory Surgical Clinic/Center$0$21.7M
    Florida Hospital Medical Group IncFLDiagnostic Radiology Physician$0$13.1M
    Central Florida Pathology Associates PAFLAnatomic Pathology & Clinical Pathology Physician$0$11.1M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M

    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. Florida Distribution
    Guillermo Nava — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Guillermo Nava — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida