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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKhalila Guzman
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    Khalila Guzman — Billing Profile & Reimbursement Data

    NPI 1265919526 · O Fallon, IL · Medical Physician Assistant

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    Khalila Guzman is a medical physician assistant provider located in O Fallon, Illinois. This profile covers 3 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKhalila Guzman
    Address930 Talon Dr Ste 1
    CityO Fallon
    StateIL
    ZIP62269
    TaxonomyMedical Physician Assistant
    NPI EnumeratedJuly 19, 2018

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

    Payer SourceTotal Paid
    Medicare$10.7K
    Medicaid$0

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96910The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.90$60$5.6K
    96920The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.40$90$3.6K
    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…30$60$1.6K

    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

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96920110220$120$30.9K
    96910530230$90$27.4K
    9921310,25217,39070$60$8.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric SteuerVARetina Specialist (Ophthalmology) Physician$2.7M$0
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Shaina Rubino LoverdeVARetina Specialist (Ophthalmology) Physician$1.8M$0
    Clarence BrownWIDermatology Physician$192.2K$462.8K
    Michael WelschILDermatology Physician$508.1K$101.3K
    Joshua KentoshILDermatology Physician$440.3K$63.8K
    Michelle RothILPhysician Assistant$482.6K$0
    William JonesVAUrology Physician$468.4K$0
    Natalie SteinhoffIADermatology Physician$440.7K$0
    Natalie RadloffAZPhysician Assistant$423.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Illinois Healthcare Foundation IncILFederally Qualified Health Center (FQHC)$0$7.9M
    Ssm Cardinal Glennon Childrens HospitalILPediatrics Physician$0$5.4M
    John ViscontiILMedical Oncology Physician$2.8M$149.1K
    Bassam MaaloufILHematology & Oncology Physician$1.8M$770.9K
    Brett HerzogILMedical Oncology Physician$1.9M$40.7K
    Justin FloydILMedical Oncology Physician$1.3M$336.2K
    Mark WalshauserILHematology & Oncology Physician$437.5K$395.5K
    O'fallon Surgical Center, LLCILAmbulatory Surgical Clinic/Center$793.7K$0
    Scott RoustioILEmergency Medicine Physician$83.8K$625.5K
    Michael StockILOphthalmology Physician$669.2K$0

    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. Illinois Distribution
    Khalila Guzman — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois