Dr. Michael Guerena, MD
3609 Vista Way, Oceanside, CA 92056 • +1-782-555-2540
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles
NPI #1841222171 • CBSA Regional • Urology
Dr. Michael Guerena, MD (NPI #1841222171) practices Urology in Oceanside, CA (92056) with sub-specialty concentration in 79 Active CMS HCPCS Codes, recording 22,646 annual CMS services across 595 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (83.33th Oceanside percentile) (+0.20σ vs CA state mean, 87.68th statewide percentile).
Granular CPT/HCPCS billing distribution at 3609 Vista Way shows Dr. Michael Guerena's primary concentration in Established Urologic, BPH & Androgen Evaluation (code 99214: 1083x/yr, 83.33th local percentile) alongside Ultrasound Measurement of Post-Void Residual Urine Capacity (51798: 812x/yr, $25–$40).
Cash-pay intake data for NPI 1841222171 (3609 Vista Way, Oceanside) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 21-minute average reception wait and 4.80/5 biomarker openness.
Patients evaluating Dr. Michael Guerena in ZIP 92056 note 21 years of post-doctoral tenure (null, 2005) alongside 38.1 annual CMS procedures per patient.
Compared against Oceanside, CA Urology peers
22,646 annual services across 595 beneficiaries
Standard deviations from CA Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 1,083 | 83.33th | $50 – $68 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 812 | 88.33th | $25 – $40 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 511 | 79.33th | $101 – $139 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 361 | 88.33th | $28 – $43 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 241 | 84.33th | $70 – $96 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (79 HCPCS billing breadth) | 19,639 | 83.33th | $45 – $65 |
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Dr. Michael Guerena, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guerena National Provider Identifier | NPI #1841222171 (MD) | CMS NPPES Registry (92056) |
| Dr. Guerena Oceanside CMS Volume Rank | 83.33th Pct (22,646 CMS svcs; Z +0.201σ) | CMS Medicare Part B (CA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oceanside, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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