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    OpenPayerNPI Medicare & MedicaidEvan Guerrero
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    Evan Guerrero — Billing Profile & Reimbursement Data

    NPI 1346635125 · Mission Viejo, CA · Orthopaedic Hand Surgery Physician

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    Evan Guerrero is a orthopaedic hand surgery physician provider located in Mission Viejo, California. This profile covers 26 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
    OrganizationEvan Guerrero
    Address26401 Crown Valley Pkwy Ste 101
    CityMission Viejo
    StateCA
    ZIP92691
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMarch 30, 2015

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

    Payer SourceTotal Paid
    Medicare$203.3K
    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.

    26 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…720$110$77.9K
    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…210$130$28.1K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…20$1,040$16.7K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$910$12.7K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…100$90$9.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…20$330$7.9K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.180$30$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…80$70$5.7K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.170$30$5.1K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.90$50$4K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    25609366020$2,220$40K
    992142,93937,970120$90$23.2K
    6472111424020$510$17.7K
    272458819020$890$16K
    9921317,57834,66080$70$13.2K
    2061133588070$90$13.2K
    9922311,91913,19050$140$11.3K
    7322150379040$130$8.7K
    9920462519,36040$120$7.2K
    992845,4265,66050$90$6.1K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Brian KimCAOphthalmology Physician$2.6M$8.9K
    Vivian LaquerCADermatology Physician$94.8K$1.7M
    Farah AwadallaCADermatology Physician$1.4M$320K
    Kenneth MartinezCANeurology Physician$1.6M$7.8K
    Sonia DhootCAOphthalmology Physician$1.5M$0
    Michael TruongCAEndocrinology, Diabetes & Metabolism Physician$1.2M$0
    Lynne HungCAClinical Cardiac Electrophysiology Physician$1.1M$0
    George ShahinianCAPulmonary Disease Physician$976.4K$2.2K
    Esrafil AbediCAOtolaryngology/Facial Plastic Surgery Physician$101.1K$806.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    California Specialty Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$947.8K$0
    Anne LuhanCASurgery Physician$923.1K$0
    Reza AllamehzadehCAInternal Medicine Physician$519.5K$50.3K
    Brian ToyCADermatology Physician$533.3K$0
    Erik PasinCAUrology Physician$484K$0
    Absalom HepnerCANuclear Cardiology Physician$461.7K$2.7K
    Mission Ambulatory Surgicenter Ltd.CAAmbulatory Surgical Clinic/Center$451.1K$0
    Eleonora SpokoynyCANeurology Physician$444.5K$0
    Michael MarandolaCAOrthopaedic Surgery Physician$430.1K$0
    Samuel ParkCAOrthopaedic Surgery Physician$380.9K$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. California Distribution
    Evan Guerrero — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California