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    OpenPayerNPI Medicare & MedicaidLuis Guzman
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    Luis Guzman — Billing Profile & Reimbursement Data

    NPI 1912307265 · Sarasota, FL · Rheumatology Physician

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    Luis Guzman is a rheumatology physician provider located in Sarasota, Florida. This profile covers 38 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLuis Guzman
    Address5951 Cattleridge Ave
    CitySarasota
    StateFL
    ZIP34232
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 23, 2014

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg28,380$20$510.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg8,010$30$208.3K
    J3262Injection, tocilizumab, 1 mg36,480$10$182.4K
    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…1,410$90$124.3K
    J1602Injection, golimumab, 1 mg, for intravenous use8,000$10$88K
    J3111Injection, romosozumab-aqqg, 1 mg10,500$10$84K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…250$130$33.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…340$100$33.3K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.600$60$32.8K
    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…140$120$16.5K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3262387038,360$1$241.9K
    J1602699013,930$10$184.6K
    J31119914016,170$10$166.4K
    J0897181,0603,290$20$106.5K
    J174581202,060$30$80.9K
    96413216730200$100$26.1K
    9921486932,760140$90$25K
    8230617092070$30$21.5K
    800533791,430170$10$21.3K
    844439841,210130$20$20.9K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew MarpleFLHematology & Oncology Physician$3.2M$0
    Joe KelleyFLRheumatology Physician$2.6M$0
    Hakim MorsliFLCardiovascular Disease Physician$2.1M$0
    Emmanuel Cruz CabanFLInternal Medicine Physician$1.9M$0
    Jesus PerezFLEndocrinology, Diabetes & Metabolism Physician$1.4M$0
    Richard GoldbergFLDiagnostic Radiology Physician$1.4M$0
    Ricardo YaryuraFLCardiovascular Disease Physician$1.2M$0
    Chad EngelFLVascular & Interventional Radiology Physician$1.1M$0
    Anthony SkidmoreFLCardiovascular Disease Physician$1.1M$0
    Mark RamosFLCardiovascular Disease Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family First Homecare, LLCFLNursing Care Agency$0$52.5M
    Neurointernational Healthcare, LLCFLRehabilitation Hospital$0$34.9M
    Keye WongFLRetina Specialist (Ophthalmology) Physician$4.9M$0
    Elizabeth RichterFLRetina Specialist (Ophthalmology) Physician$3.5M$0
    Fadi KayaliFLMedical Oncology Physician$2.9M$0
    Surgery Center At University Park, LLCFLAmbulatory Surgical Clinic/Center$2.5M$0
    Richard BuckFLMedical Oncology Physician$2.1M$0
    Aesculapian Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$1.7M$0
    Edward StolarskiFLAdult Reconstructive Orthopaedic Surgery Physician$1.7M$0
    Donald ErbFLInterventional Pain Medicine Physician$1.3M$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.

    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. Florida Distribution
    Luis Guzman — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida