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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Matthew Mcguigan (NPI 1205123866)

Field	Value
Entity Type	Individual
Organization	Matthew Mcguigan
Address	5401 Harding Hwy Ste 2
City	Mays Landing
State	NJ
ZIP	08330
Taxonomy	Optometrist
NPI Enumerated	July 5, 2011

Payer Source	Total Paid
Medicare	$4.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	20	$130	$2.3K
99203	The 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…	20	$90	$2K
92228	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing provider’s location. The provider interprets the images remotely and prepares a report. The imaging…	20	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Matthew Mcguigan — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92004	737	900	40	$110	$8K
99203	3,912	5,660	40	$80	$4.8K
92228	1	10	10	$20	$270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bruce Saran	PA	Ophthalmology Physician	$2.9M	$0
Michael Ward	PA	Ophthalmology Physician	$2.7M	$0
Michael Colucciello	NJ	Ophthalmology Physician	$2.7M	$0
Anton Kolomeyer	NJ	Ophthalmology Physician	$1.8M	$910
Hilary Brader	PA	Ophthalmology Physician	$784K	$0
Matthew Perez	NJ	Ophthalmology Physician	$658.9K	$0
Vincent Sardi	PA	Retina Specialist (Ophthalmology) Physician	$657K	$0
Sander Cohen	NJ	Ophthalmology Physician	$598.5K	$0
Gregory Oldham	PA	Ophthalmology Physician	$560.6K	$0
Joshua Greene	PA	Retina Specialist (Ophthalmology) Physician	$509.7K	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cape Atlantic Integrated Network For Kids	NJ	Case Management Agency	$0	$66.3M
John Brooks Recovery Center , A New Jersey Nonprofit Corporation	NJ	Substance Abuse Rehabilitation Facility	$0	$30.7M
Ars Of Somers Point, LLC	NJ	Methadone Clinic	$352.2K	$21.1M
Karen Solofsky	NJ	Optometrist	$23.1K	$138.7K

Matthew Mcguigan — Billing Profile & Reimbursement Data

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Matthew Mcguigan — 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