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PROVIDER PROFILE · NPI 1437114592

James GuerraMD

Orthopedic SurgeryNaples, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
6,956
Unique beneficiaries
—
Total services
31,016
Distinct HCPCS
35
Medicare payment
$1.5M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,417 Orthopedic Surgery providers in FL — top quintile (cohort median 1,874).
REFERRAL NETWORK

Where James 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). 77 inbound referrers · 140 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NAPLES HMA LLC1731,269
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
164485
James Spain
Family Practice · Daphne, AL
99218
Ida Mazzone
Internal Medicine · Naples, FL
68423
PROVIDIA HOME CARE LLC.49179
Paul Dorio
Diagnostic Radiology · Naples, FL
46227
Pamela Caslowitz
Diagnostic Radiology · Naples, FL
44129
Joel Berman
Diagnostic Radiology · Yardley, PA
37184
PAWLUS, JAMES3475
Bruno Dipasquale
Pathology · Naples, FL
31139
Daniel Singer
Diagnostic Radiology · Naples, FL
29181
Jason Hamilton
Diagnostic Radiology · Fort Myers, FL
2954
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Mark Bucci
Physician Assistant · Naples, FL
266994
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
241853
NAPLES COMMUNITY HOSPITAL INC227829
NAPLES DAY SURGERY LLC175577
Gilbert Maulsby
Diagnostic Radiology · Cincinnati, OH
139229
NAPLES HMA LLC135556
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
132420
Adam Olmsted
Diagnostic Radiology · Cincinnati, OH
128236
Ida Mazzone
Internal Medicine · Naples, FL
69267
COOK, THOMAS56176
Naples Pathology Associates Pa
Clinical Laboratory · Naples, FL
55114
PROVIDIA HOME CARE LLC.49211
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,359
Beneficiaries
—
Total drug cost
$12K
Distinct drugs
12
Brand share
34.2%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen302 claims
Zolpidem Tartrate170 claims
Celecoxib166 claims
Meloxicam156 claims
Hydrocodone/Acetaminophen148 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
85.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$516K
Payment records
59
By payment type
Royalty or License$492K
Consulting Fee$17K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$7K
Food and Beverage$458