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PROVIDER PROFILE · NPI 1023066552

Michael GuerraM.D.

OphthalmologyKerrville, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450007
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,818
Unique beneficiaries
—
Total services
2,557
Distinct HCPCS
11
Medicare payment
$194K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — above median (cohort median 1,864).
PRESCRIBING · PART D · 2024
Total Rx claims
1,337
Beneficiaries
—
Total drug cost
$70K
Distinct drugs
21
Brand share
18.8%
Top prescribed drugs
Latanoprost284 claims
Timolol Maleate202 claims
Ketorolac Tromethamine192 claims
Ciprofloxacin Hcl156 claims
Prednisolone Acetate77 claims
QUALITY · MIPS · 2024
Final MIPS score
88.7
Quality
97.5
Cost
65.6
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.57%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Michael Guerra's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 25 inbound referrers · 60 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
103224
Joe Pruneda
Diagnostic Radiology · Kerrville, TX
3673
David Sprouse
Family Practice · Kerrville, TX
3374
Tyson Hale
Diagnostic Radiology · Fredericksburg, TX
3045
Michael Melucci
Cardiology · Kerrville, TX
2638
HILL COUNTRY MEMORIAL HOSPITAL2653
Michael Gnuechtel
Otolaryngology · Kerrville, TX
2580
NPI 13967169572459
Simone Bridges-Roschmann
Diagnostic Radiology · Kerrville, TX
2331
Klaus Schroeder
Internal Medicine · Kerrville, TX
2353
Dale Mohar
Allergy/ Immunology · Kerrville, TX
2074
Michael Grocki
Internal Medicine · Kerrville, TX
2057
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SID PETERSON MEMORIAL HOSPITAL259972
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
89207
Fred Speck
Dermatology · Kerrville, TX
5384
Thomas Oei
Ophthalmology · San Antonio, TX
42124
Simone Bridges-Roschmann
Diagnostic Radiology · Kerrville, TX
4176
Tyson Hale
Diagnostic Radiology · Fredericksburg, TX
3461
Michael Melucci
Cardiology · Kerrville, TX
3469
Joe Pruneda
Diagnostic Radiology · Kerrville, TX
3364
HILL COUNTRY MEMORIAL HOSPITAL3064
Michael Gnuechtel
Otolaryngology · Kerrville, TX
2998
Alfred Roschmann
Interventional Radiology · Kerrville, TX
2851
David Sprouse
Family Practice · Kerrville, TX
2747
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.