What is Michael Guerena's specialty?

Michael Guerena (NPI 1841222171) is a Medicare-billing provider whose primary specialty is Urology in Oceanside, CA.

Where does Michael Guerena practice?

Michael Guerena practices in Oceanside, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1841222171.

How much does Medicare pay Michael Guerena?

Michael Guerena (NPI 1841222171) received approximately $452K in total Medicare Part B payments, serving 595 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1841222171

Michael GuerenaMD

PRACTICENORTH COAST UROLOGYSee all providers at this practice →

UrologyOceanside, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,584

Unique beneficiaries

—

Total services

2,675

Distinct HCPCS

Medicare payment

$164K

Peer benchmark

Total Medicare services vs. 942 Urology providers in CA — top quintile (cohort median 1,637).

PRESCRIBING · PART D · 2024

Total Rx claims

2,535

Beneficiaries

—

Total drug cost

$280K

Distinct drugs

Brand share

39.2%

Top prescribed drugs

Tamsulosin Hcl489 claims

Finasteride314 claims

Amoxicillin/Potassium Clav191 claims

Ciprofloxacin Hcl133 claims

Nitrofurantoin Monohyd/M-Cryst128 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

0.0

Cost

72.5

Improvement activities

40.0

Promoting interop.

93.0

Payment adjustment

0.80%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Entertainment$17

Top paying entities

Food and Beverage$2K

Entertainment$17

REFERRAL NETWORK

Where Michael Guerena'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). 22 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	65	166
WEST COAST CLINICAL LABORATORIES, INC.	31	101
BOSTWICK LABORATORIES, INC,	30	75
THUEN, ERIC	25	61
FRANCIS, DAVID	24	46
Kenneth Carr Cardiology · Oceanside, CA	23	57
William Kakimoto Diagnostic Radiology · La Jolla, CA	22	52
North Coast Surgery Center Ltd Ambulatory Surgical Center · Oceanside, CA	21	54
Sean Pinnell Diagnostic Radiology · Vista, CA	20	57
Tan Nguyen Diagnostic Radiology · Dallas, TX	19	49
Grace Mellgren Ophthalmology · Roswell, NM	15	27
Jennifer Mayberry Diagnostic Radiology · Portland, OR	15	26

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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