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    OpenPayerNPI Medicare & MedicaidAmy Guan
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    Amy Guan — Billing Profile & Reimbursement Data

    NPI 1801398813 · Saint Louis, MO · Gerontology Nurse Practitioner

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    Amy Guan is a gerontology nurse practitioner provider located in Saint Louis, Missouri. This profile covers 10 Medicare and 4 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
    OrganizationAmy Guan
    Address12348 Old Tesson Rd Ste 250
    CitySaint Louis
    StateMO
    ZIP63128
    TaxonomyGerontology Nurse Practitioner
    NPI EnumeratedMarch 6, 2018

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

    Payer SourceTotal Paid
    Medicare$15K
    Medicaid$5.1K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$80$7K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…10$180$2K
    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…20$100$1.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.7K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…30$30$750
    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…10$60$720
    G0008Administration of influenza virus vaccine20$30$690
    87430The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.10$20$180
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…10$10$60
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…20$1$40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,8738,960100$80$13.9K
    992138,4038,73070$50$7K
    992043,1794,36030$100$4.8K
    906621,0681,51040$70$4.6K
    9949613814020$180$3.8K
    G00081,7302,26050$30$2.5K
    874288124020$50$1.3K
    8257027828040$10$530
    8743051010$20$240
    810037571,02030$1$170

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0071AN/A40$40$1.7K
    0072AN/A40$40$1.6K
    0001AN/A30$40$1.1K
    0004AN/A20$40$630

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0001AN/A507070$30$8.5K
    0004AN/A1010100$30$3.4K
    0072AN/A194040$30$3K
    0071AN/A255040$30$2.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospitals East CommunitiesMOGeneral Acute Care Hospital$0$25.3M
    Mercy Clinic East CommunitiesMOInternal Medicine Physician$0$22.2M
    Compass Health, Inc.MOFederally Qualified Health Center (FQHC)$0$8.4M
    Patrick MillerAZRadiation Oncology Physician$805.1K$0
    Jennifer PageMOPain Medicine (Physical Medicine & Rehabilitation) Physician$239.5K$0
    Harmeen ChawlaMOPhysical Medicine & Rehabilitation Physician$237.5K$0
    Susan YangMOInternal Medicine Physician$218.4K$0
    Michael GerardoMOInternal Medicine Physician$213K$0
    Spencer CotterellMOPhysical Medicine & Rehabilitation Physician$204.8K$0
    Donn RichardsMOFamily Medicine Physician$21K$148.5K

    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
    Amy Guan — 0 of 10 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Amy Guan — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri