Guerra, Julio

Guerra, Julio was paid $1.02M by Medicaid between Jan 2018 and May 2022, across 19 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 84% of everything it billed.

33Billing provider infoGUERRA, JULIO
SEVIERVILLE, TN 37862

33aNPI1093752701assigned 06/01/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$1.02M

24GClaims11,522

24DCodes billed19

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#24 of 176

Median peer was paid$39K

This provider vs. median26×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,820	$100K
2019	2,557	$304K
2020	2,556	$289K
2021	3,991	$323K
2022	598	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	84%	672	568	$858K
99234		5.1%	594	451	$52K
59510		3.9%	32	28	$40K
59025	Fetal non-stress test	1.9%	611	421	$20K
0500F		1.0%	1,350	1,005	$10K
99218		<1%	181	127	$10K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	414	304	$6K
99205	Prolong outpt/office vis	<1%	311	235	$5K
99217		<1%	82	66	$4K
81002		<1%	2,451	1,825	$4K
54150		<1%	29	28	$3K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	38	36	$2K

7 more codes

0503F		<1%	181	$2K
59430		<1%	192	$1K
99213	Doctor's office visit, returning patient (routine)	<1%	39	$1K
99214	Doctor's office visit, returning patient (more involved)	<1%	15	$1K
0502F		<1%	1,169	$920.00
81025		<1%	34	$159.42
0501F		<1%	3,127	$40.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.