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

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Ricardo Cardona Guarache (NPI 1962667485)

Field	Value
Entity Type	Individual
Organization	Ricardo Cardona Guarache
Address	3901 Hoyt Ave
City	Everett
State	WA
ZIP	98201
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	July 24, 2008

Payer Source	Total Paid
Medicare	$175.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

37 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…	240	$90	$20.9K
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	30	$730	$18.1K
99215	The 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…	100	$140	$14.5K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	20	$630	$13.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	130	$110	$13.8K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	10	$720	$10.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	30	$350	$10.1K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	30	$400	$10K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	460	$20	$7.3K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	330	$20	$6.8K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Ricardo Cardona Guarache — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	24	40	30	$740	$25.9K
93306	290	420	220	$70	$18.8K
99214	2,288	10,860	100	$80	$13.6K
33249	10	20	10	$700	$11.2K
93653	6	30	20	$660	$11.2K
99233	2,189	2,420	60	$90	$10.4K
33208	25	60	20	$400	$10K
99291	1,081	1,430	40	$170	$9.1K
99215	779	4,320	40	$120	$8.4K
78452	207	250	60	$110	$7.9K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Care Washington PLLC	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Hooman Saberinia	VA	Internal Medicine Physician	$9.6M	$0
Optum Care Washington PLLC	WA	Ambulatory Surgical Clinic/Center	$1.7M	$937.1K
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
David Stoll	RI	Hematology & Oncology Physician	$22.4K	$1.4M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M
Douglas Murrey	WA	Vascular & Interventional Radiology Physician	$1.4M	$0
Vladimir Fridman	NY	Cardiovascular Disease Physician	$1M	$281.7K
Richard Roberts	TN	Anatomic Pathology & Clinical Pathology Physician	$1.3M	$790

Nearby Providers

Other providers in the same ZIP code as Ricardo Cardona Guarache, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Snohomish County	WA	Dentist	$0	$112.1M
Providence Health & Services-wa	WA	General Acute Care Hospital	$0	$62.4M
Sunrise Services, Inc.	WA	Community/Behavioral Health Agency	$0	$21.4M
North Sound Emergency Medicine PC	WA	Emergency Medicine Physician	$0	$8.7M
Catholic Community Services Western Washington	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.9M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Assured Independence, LLC	WA	Emergency Response System Companies	$0	$7M
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$6.2M
Evergreen Recovery Centers	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.9M
Sight Partners	WA	Ambulatory Surgical Clinic/Center	$4.9M	$342.1K

Ricardo Cardona Guarache — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References