JUAN GUARDIA, MD
Nephrology Physician · MCALLEN, TX
Individual Active NPI 1407855224
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 283 | 1,079 | $180,021 | $151,944 | $117,967 |
| 2023 | 321 | 1,269 | $234,095 | $186,435 | $144,922 |
| 2022 | 341 | 1,236 | $223,625 | $175,300 | $136,664 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 237 | $356 | $280 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 225 | $10 | $7 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 160 | $78 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 98 | $129 | $99 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 95 | $17 | $13 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 82 | $120 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $90 | $56 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 41 | $297 | $237 |
| 90935 | Hemodialysis procedure with physician evaluation | 21 | $72 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $132 | $86 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | $174 | $122 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | L0228 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.