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PROVIDER PROFILE · NPI 1043259039

Jose GuerraM.D.

PRACTICEWINCHESTER PHYSICIAN ASSOCIATESSee all providers at this practice →
Family PracticeWinchester, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

CCN 227495
Home health agency
CCN 227503
Home health agency
CCN 220033
Hospital
CCN 220071
Hospital
CCN 220086
Hospital
CCN 220105
Hospital
CCN 220171
Hospital
REFERRAL NETWORK

Where Jose 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). 7 inbound referrers · 23 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SOLOMON, JOEL2143
FORTUNATO, ROBERT1834
Delphine Lui
Diagnostic Radiology · Woburn, MA
1327
WINCHESTER HOSPITAL1326
Anthony Martyniak
Pathology · Winchester, MA
1226
Khether Raby
Cardiology · Stoneham, MA
1233
Peter Azar
Internal Medicine · Woburn, MA
1131
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WINCHESTER HOSPITAL2472,143
SOLOMON, JOEL3575
FORTUNATO, ROBERT2962
GUANCI, JAMES2480
John Dubrow
Diagnostic Radiology · Woburn, MA
2247
LAHEY CLINIC HOSPITAL, INC.21144
Philip Steeves
Diagnostic Radiology · Worcester, MA
1859
Anthony Martyniak
Pathology · Winchester, MA
1748
Ann Rolfs
Diagnostic Radiology · Lebanon, NH
1752
CHIN, JOHN1536
Jeffrey Miner
Family Practice · Winchester, MA
1529
Brian Lawner
Diagnostic Radiology · Stoneham, MA
1434
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,043
Unique beneficiaries
—
Total services
1,313
Distinct HCPCS
17
Medicare payment
$99K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,348 Family Practice providers in MA — top quintile (cohort median 537).
PRESCRIBING · PART D · 2024
Total Rx claims
3,556
Beneficiaries
—
Total drug cost
$279K
Distinct drugs
59
Brand share
15.7%
Top prescribed drugs
Atorvastatin Calcium613 claims
Lisinopril287 claims
Amlodipine Besylate282 claims
Simvastatin145 claims
Metoprolol Succinate135 claims
QUALITY · MIPS · 2024
Final MIPS score
92.0
Quality
76.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.71%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.