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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Iman Guirgis (NPI 1154774933)

Field	Value
Entity Type	Individual
Organization	Iman Guirgis
Address	3090 Bristol St Ste 200
City	Costa Mesa
State	CA
ZIP	92626
Taxonomy	Family Medicine Physician
NPI Enumerated	July 18, 2016

Payer Source	Total Paid
Medicare	$2.6K
Medicaid	$0

Key Findings

This provider’s billed Medicare revenue is very small in absolute terms, totaling $2.6K, while there is no Medicaid billing on file. That combination makes IMAN GUIRGIS effectively a single‑payer (Medicare-only) billing profile in the available data and indicates a very limited Medicare footprint overall.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue. In practice that concentration is represented by a single listed code (99309) driving all reported Medicare dollars, which points to a narrow service mix.

The sole Medicare revenue driver reported is code 99309: 38 claims, $69 avg paid/claim, $2.6K revenue (100.0% of this provider's total Medicare revenue). Code 99309 is a subsequent nursing facility care E/M visit (moderate MDM or >=30 minutes), so the billed services are consistent with nursing‑facility follow‑ups rather than typical office-based primary care visits.

Claim volume and per-claim payments underline the small scale of Medicare activity: 38 claims at $69 avg paid/claim produced the full $2.6K Medicare total. Across the provider’s tenure this is a low absolute volume of billed Medicare services, which suggests a limited Medicare patient panel or limited participation in Medicare-billed care.

On national competitive standing for the reported code, this provider ranks #23812 of 28092 (15th percentile; typical, unremarkable volume for this code). That rank positions the provider as a modest participant for 99309 nationally rather than a major or dominant biller.

There is no Medicaid billing on file ("none below"), so the provider has no measurable Medicaid presence in the dataset and cannot be benchmarked against in‑state Medicaid peers. The absence of Medicaid claims removes Medicaid from consideration when assessing payer mix, network exposure, or state‑level competitive analysis.

The NPI was enumerated on 2016-07-18 (~10 years ago); given roughly a decade since enumeration and only $2.6K in Medicare revenue, the pattern points to either a practice with very limited Medicare engagement (part‑time, niche SNF coverage, or non‑Medicare patient focus) or recent changes in practice that reduced Medicare billing. The data do not specify which scenario applies, but the long tenure plus low Medicare billing is notable for commercial or operational analysis.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	40	$70	$2.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Iman Guirgis — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1	1,790	210	$80	$48.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Tran	CA	Family Medicine Physician	$804.2K	$332K
Ajmal Mohammad	CA	Psychiatric/Mental Health Nurse Practitioner	$850.4K	$0
Richard Rodriguez	CA	Family Medicine Physician	$737.7K	$0
Flora Danque	CA	Family Medicine Physician	$64.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Solutions For Autism, Inc.	CA	Behavior Analyst	$0	$25.5M
Community Diagnostics LLC	CA	Clinical Medical Laboratory	$3.9M	$272.2K
Mary Redden	CA	Family Nurse Practitioner	$2.1M	$0
Us Lab, Inc	CA	Clinical Medical Laboratory	$945K	$167.3K
Katherine Yi	CA	Family Nurse Practitioner	$219K	$0
Emilio Villavicencio	CA	Occupational Therapist	$145.6K	$0
Daniel Quon	CA	Optometrist	$95.4K	$0
Robert Bota	CA	Psychiatry Physician	$92.8K	$0
Dang Tran	CA	Occupational Therapist	$81.4K	$0

Iman Guirgis — Billing Profile & Reimbursement Data

Sign up for Iman Guirgis — Billing Profile & Reimbursement Data policy alerts

Iman Guirgis — Billing Profile & Reimbursement Data

Sign up for Iman Guirgis — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References