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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

William Mcguirt (NPI 1295715563)

Field	Value
Entity Type	Individual
Organization	William Mcguirt
Address	110 Charlois Blvd
City	Winston Salem
State	NC
ZIP	27103
Taxonomy	Otolaryngology Physician
NPI Enumerated	January 20, 2006

Payer Source	Total Paid
Medicare	$50.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	190	$90	$16.2K
99213	The 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	$60	$8.6K
99204	The 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	$120	$6.8K
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…	60	$80	$4.8K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	50	$100	$4.6K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	120	$30	$4.2K
77011	In this procedure, the provider uses computed tomography guidance to locate small targets inside the body using a three–dimensional coordinate system.	20	$160	$2.4K
76377	In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…	20	$60	$1.1K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	30	$30	$700
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	20	$40	$540

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

William Mcguirt — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,233	18,060	110	$80	$15.1K
99213	4,629	16,320	70	$50	$7.1K
31575	122	260	50	$80	$5K
99204	2,068	8,430	30	$110	$4.8K
99203	1,207	5,450	30	$70	$3.1K
92557	269	320	90	$20	$3K
69210	87	410	40	$30	$2.3K
76377	75	120	20	$30	$1.8K
77011	1	10	10	$110	$1.5K
92567	247	290	80	$10	$1.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
John Allen	NC	Ophthalmology Physician	$3.6M	$0
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Alexander Barnes	NC	Ophthalmology Physician	$2.2M	$22.5K
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0
David Browning	NC	Ophthalmology Physician	$680.9K	$0
Andrew Antoszyk	NC	Ophthalmology Physician	$559.8K	$0
Wei Huang	NC	Ophthalmology Physician	$408.4K	$0

William Mcguirt — Billing Profile & Reimbursement Data

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William Mcguirt — 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

Frequently Asked Questions

References