Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Guerra, David

Guerra, David was paid $349K by Medicaid between Mar 2019 and Jun 2022, across 16 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 37% of everything it billed.

33Billing provider infoGUERRA, DAVID
SEBRING, FL 33870
33aNPI1669560926assigned 10/11/2006
28Total paid$349K
24GClaims13,805
24DCodes billed16
24AFirst – last monthMar 2019 – Jun 2022
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Florida

Rank by total paid#81 of 352
Median peer was paid$67K
This provider vs. median5.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20192,119$47K
20204,299$96K
20214,941$127K
20222,446$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H1000 Prenatal care, at-risk assessment 37% 2,158 1,507 $127K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 2,043 1,736 $53K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 396 352 $46K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 1,324 1,178 $40K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.4% 395 362 $26K
76830 Ultrasound, transvaginal 3.1% 170 153 $11K
59430 3.1% 162 130 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.8% 116 110 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.6% 728 516 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.2% 97 88 $8K
80305 <1% 1,231 994 $3K
81025 <1% 1,613 1,362 $2K
4 more codes
81003 <1% 1,871 $1K
36415 Collection of venous blood by venipuncture <1% 1,000 $1K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 485 $1K
81001 <1% 16 $7.95

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.