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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Peter Mcguire (NPI 1801087382)

Field	Value
Entity Type	Individual
Organization	Peter Mcguire
Address	2 Leonardville Rd
City	Middletown
State	NJ
ZIP	07748
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicare	$72.6K
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
99214	The 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…	480	$100	$48.2K
99204	The 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…	70	$130	$8.8K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	120	$50	$5.6K
94727	The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…	120	$40	$4.4K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	120	$30	$3.8K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	120	$10	$1.6K

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. New Jersey Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,156	13,640	130	$90	$23.6K
99204	1,749	7,160	40	$130	$6.5K
94729	93	330	70	$40	$3.7K
94727	58	220	70	$30	$2.8K
94060	83	380	50	$30	$2.5K
94200	4	20	60	$10	$960

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Guttmann	NJ	Radiation Oncology Physician	$299.6K	$0
Marcia Gold	NJ	Internal Medicine Physician	$287.6K	$0
Jacob Shin	NJ	Radiation Oncology Physician	$273.7K	$0
Thomas Kole	NJ	Radiation Oncology Physician	$239.8K	$0
Ammar Bazerbashi	NJ	Internal Medicine Physician	$210.8K	$0
Roger Thompson	NJ	Family Medicine Physician	$201.2K	$0
Matthew Davis	NJ	Neurology Physician	$191.6K	$0
Yao Yu	NJ	Radiation Oncology Physician	$136.8K	$0
Kristin Belen	NJ	Diagnostic Radiology Physician	$129K	$0
Nicole Saphier	NJ	Diagnostic Radiology Physician	$128.8K	$0

Peter 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

Nearby Providers

Frequently Asked Questions

References