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    OpenPayerNPI Medicare & MedicaidBernadette Guia
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    Bernadette Guia — Billing Profile & Reimbursement Data

    NPI 1376911131 · Panorama City, CA · Family Nurse Practitioner

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    Bernadette Guia is a family nurse practitioner provider located in Panorama City, California. This profile covers 25 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBernadette Guia
    Address8215 Van Nuys Blvd
    CityPanorama City
    StateCA
    ZIP91402
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 10, 2015

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

    Payer SourceTotal Paid
    Medicare$556.7K
    Medicaid$58.1K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,000$60$125.8K
    J0585Injection, onabotulinumtoxina, 1 unit19,040$10$95.2K
    17108Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin.  This…140$470$64.6K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…280$190$51.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…310$150$45.3K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.10,380$1$31.1K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…200$140$28.2K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.290$60$18.5K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…70$250$17.6K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…130$110$14.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585794007,640$1$86K
    17108920140$490$62.1K
    933069652,400240$110$34.1K
    110562691,000120$70$17.4K
    117215231,170240$40$15.9K
    93925801,25040$180$15.4K
    646153822060$120$14.5K
    9921322034,66080$70$13.2K
    9934836585090$60$13.1K
    95004203201,820$1$12.3K

    Showing 1–10 of 25

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit90$180$16.6K
    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…2,520$10$15.1K
    17108Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin.  This…80$130$9.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…210$40$8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…180$20$4.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$30$1.1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…150$1$590
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…170$1$520
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…140$1$420
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.90$1$360

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585Injection, onabotulinumtoxina, 1 unit74110260$590$407.4K
    17108Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin.  This…610340$560$251.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…9261,500410$100$209.4K
    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…4,50814,520760$10$122.8K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.137210230$110$112.7K
    99203The 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…4,3505,590180$50$62.4K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…4890140$90$47.2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…208520110$70$30.4K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…13535090$60$26.8K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…157300160$40$23.4K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$75.2M
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$35.6M
    Center For Family Health And Education IncCAFederally Qualified Health Center (FQHC)$0$26.6M
    Regents Of The University OfCAClinical Medical Laboratory$8.5M$2.4M
    Firstmed Ambulance Services, Inc.CAAmbulance$3.5M$6.9M
    Hermilito VillarCAInternal Medicine Physician$1.9M$0
    Sirius Imaging IncCADiagnostic Ultrasound Physician$1.4M$119.4K
    Reyadh MichailCAFamily Medicine Physician$345.9K$820
    James LauCAUrology Physician$239K$0
    Western Pacific Med-corpCAMethadone Clinic$203.2K$30.9K

    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
    Bernadette Guia — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Bernadette Guia — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California