What is Michael Guerra's specialty?

Michael Guerra (NPI 1023066552) is a Medicare-billing provider whose primary specialty is Ophthalmology in Kerrville, TX.

Where does Michael Guerra practice?

Michael Guerra practices in Kerrville, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1023066552.

How much does Medicare pay Michael Guerra?

Michael Guerra (NPI 1023066552) received approximately $207K in total Medicare Part B payments, serving 1,163 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1023066552

Michael GuerraM.D.

OphthalmologyKerrville, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,818

Unique beneficiaries

—

Total services

2,557

Distinct HCPCS

Medicare payment

$194K

Peer benchmark

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

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.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450007

Hospital

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

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	103	224
Joe Pruneda Diagnostic Radiology · Kerrville, TX	36	73
David Sprouse Family Practice · Kerrville, TX	33	74
Tyson Hale Diagnostic Radiology · Fredericksburg, TX	30	45
Michael Melucci Cardiology · Kerrville, TX	26	38
HILL COUNTRY MEMORIAL HOSPITAL	26	53
Michael Gnuechtel Otolaryngology · Kerrville, TX	25	80
NPI 1396716957	24	59
Simone Bridges-Roschmann Diagnostic Radiology · Kerrville, TX	23	31
Klaus Schroeder Internal Medicine · Kerrville, TX	23	53
Dale Mohar Allergy/ Immunology · Kerrville, TX	20	74
Michael Grocki Internal Medicine · Kerrville, TX	20	57

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SID PETERSON MEMORIAL HOSPITAL	259	972
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	89	207
Fred Speck Dermatology · Kerrville, TX	53	84
Thomas Oei Ophthalmology · San Antonio, TX	42	124
Simone Bridges-Roschmann Diagnostic Radiology · Kerrville, TX	41	76
Tyson Hale Diagnostic Radiology · Fredericksburg, TX	34	61
Michael Melucci Cardiology · Kerrville, TX	34	69
Joe Pruneda Diagnostic Radiology · Kerrville, TX	33	64
HILL COUNTRY MEMORIAL HOSPITAL	30	64
Michael Gnuechtel Otolaryngology · Kerrville, TX	29	98
Alfred Roschmann Interventional Radiology · Kerrville, TX	28	51
David Sprouse Family Practice · Kerrville, TX	27	47

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events