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

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Daniel Mcguire (NPI 1669476420)

Field	Value
Entity Type	Individual
Organization	Daniel Mcguire
Address	78 Ridgewood Dr
City	Bangor
State	ME
ZIP	04401
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicare	$5.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40	$60	$2.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$950
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$50	$770
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…	10	$70	$730
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	10	$40	$550
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	40	$10	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Daniel Mcguire — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,366	2,350	50	$50	$4.3K
20610	159	180	40	$40	$2.9K
99203	579	620	30	$60	$2.4K
99212	201	410	30	$30	$1.5K
J0702	10	10	80	$1	$1.2K
73564	106	120	30	$10	$540

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Down East Orthopedic Assoc PA	ME	Specialist	$0	$638.3K
Jason Lang	ME	Orthopaedic Surgery Physician	$366.4K	$0
Stephen Walsh	ME	Adult Reconstructive Orthopaedic Surgery Physician	$186.2K	$0
Cameron Trubey	ME	Sports Medicine (Family Medicine) Physician	$181K	$0
Jacob Brooks	ME	Orthopaedic Surgery Physician	$135.3K	$0
Antonios Tsismenakis	ME	Orthopaedic Surgery Physician	$114K	$0
Jessica Lucas	ME	Family Medicine Physician	$96.6K	$0
Garrett Martin	ME	Orthopaedic Surgery Physician	$59.2K	$0
Peter Green	ME	Orthopaedic Hand Surgery Physician	$47.8K	$0
Timothy Allen	ME	Orthopaedic Hand Surgery Physician	$34.4K	$0

Daniel Mcguire — 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