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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAhmet Guler
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    Ahmet Guler — Billing Profile & Reimbursement Data

    NPI 1790738664 · Saint Louis, MO · Internal Medicine Physician

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    Ahmet Guler is a internal medicine physician provider located in Saint Louis, Missouri. This profile covers 3 Medicare and 1 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
    OrganizationAhmet Guler
    Address11133 Dunn Rd
    CitySaint Louis
    StateMO
    ZIP63136
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$253.3K
    Medicaid$30.4K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,850$60$113K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,130$90$103.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…270$130$36.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233162,66070$90$12.1K
    99232204,32090$60$10.8K
    99223582,72040$130$8.2K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…410$80$30.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…5526090$70$26.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert HatchettILUrology Physician$620.1K$160.7K
    Kamran QuraishiINInternal Medicine Physician$429K$0
    Junaid MunshiMOFamily Medicine Physician$345K$63.8K
    Lewis MeyersonMOFamily Medicine Physician$340.9K$18K
    Kamran HussainiILHospitalist Physician$314.3K$43.7K
    Shiraz DaudMOPulmonary Disease Physician$314.8K$0
    Ali ZiaeeMOInterventional Cardiology Physician$294.4K$0
    Saad BitarMOCardiovascular Disease Physician$186.7K$97.7K
    Zubair KhanINInternal Medicine Physician$267.7K$0
    Radhika JaladiMOInternal Medicine Physician$235.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christian Hospital Northeast- NorthwestMOGeneral Acute Care Hospital$0$65.3M
    Above & Beyond Health LLCMOIn Home Supportive Care Agency$0$21.9M
    Christian Hospital Northeast-northwestMOAmbulance$0$21.7M
    Strategic Home Health CareMOHome Health Agency$0$8M
    Alternative Choices Consumer Directed Svc LLCMOHome Health Agency$0$7M
    Majestic Home Health Care, LLCMOHome Health Agency$0$5.7M
    Family Ties Consumer Directed Services LLCMOHome Health Agency$0$4.4M
    Active Angels In Home Health Care LLCMOHome Health Agency$0$4.3M
    Lots Of Love Consumer Directed ServicesMOIn Home Supportive Care Agency$0$4M
    Northern Family Home Health Care LLCMOHome Health Agency$0$3.8M

    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. Missouri Distribution
    Ahmet Guler — 3 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Ahmet Guler — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri