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    OpenPayerNPI Medicare & MedicaidJesse Guardado
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    Jesse Guardado — Billing Profile & Reimbursement Data

    NPI 1700171162 · Sioux Falls, SD · Colon & Rectal Surgery Physician

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    Jesse Guardado is a colon & rectal surgery physician provider located in Sioux Falls, South Dakota. This profile covers 11 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJesse Guardado
    Address911 E 20th St Ste 700
    CitySioux Falls
    StateSD
    ZIP57105
    TaxonomyColon & Rectal Surgery Physician
    NPI EnumeratedJune 14, 2011

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

    Payer SourceTotal Paid
    Medicare$81.7K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    44205The provider performs laparoscopic partial colectomy with removal of the end of the ileum and connection of the remaining ileum and colon segments.30$970$25.2K
    44204The provider laparoscopically removes a portion of the colon and reconnects the cut ends of the colon to restore continuity.20$1,100$23K
    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…60$120$7.6K
    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…60$90$5.6K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…50$90$4.7K
    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…70$60$4.2K
    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…50$70$3.3K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$130$2.7K
    44213In this laparoscopic add–on procedure, during the same session in which the provider performs partial colectomy, he also mobilizes the splenic flexure, a sharp bend between the transverse and the…20$130$2.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…20$140$2K

    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

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4420511030$550$14.3K
    4420411020$640$12.9K
    992149971,66090$70$11.4K
    45380506040$140$9.9K
    45378123020$170$6.5K
    992139631,71080$50$6.4K
    9920415567030$100$5.1K
    4660011030$90$2.9K
    9920318160030$60$2.9K
    4421311020$130$2.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bradley ThaemertSDSurgery Physician$62.1K$0
    Emily MurphySDSurgery Physician$46.1K$0
    Melissa TschetterSDFamily Nurse Practitioner$39.4K$0
    David StrandSDSurgery Physician$31.3K$0
    Lukas MuellerNDSurgery Physician$16.1K$0
    Dustin SmootSDSurgical Critical Care Physician$7K$0
    Riley KnutsonSDPhysician Assistant$6K$0
    Gwen SmithSDPhysician Assistant$2.1K$0
    Ashley HoferSDFamily Nurse Practitioner$1.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Jesse Guardado — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota