Physician

Chad Michael Guenther, MD

According to 2025 Medicare claims, Chad Guenther, MD (NPI: 1063874758) practices hematology/oncology in the Santa Maria-Santa Barbara, CA market, with the plurality of this provider's patient population coming from Santa Barbara, CA. This provider's primary affiliated billing organization is SANSUM CLINIC (NPI: 1932121514; TIN: 956419205) and primary practice location at 93105-4230. Guenther is affiliated with the Aledade A3299 CA MSSP Enhanced (ACO ID: A3299), participating under the MSSP model.

Guenther's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 349 traditional Medicare patients, billed 96,796 HCPCS/CPT codes, and received $1,997,169 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 691 prescription claims across 130 beneficiaries totaling $1,211,603 in drug costs, led by Lenalidomide (Lenalidomide). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,266 to $1,211,603. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$999K$2.0M2019 Medicare payment: $22,534 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $14,002 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $269,293 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,997,169 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019120272$22,534
202083147$14,002
2021N/RN/RN/R
2022N/RN/RN/R
202315319,849$269,293
202434996,796$1,997,169

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$606K$1.2M2017 Drug cost: $4,266 (USD; Tot_Drug_Cst)2019 Drug cost: $1,962 (USD; Tot_Drug_Cst)2020 Drug cost: $2,134 (USD; Tot_Drug_Cst)2021 Drug cost: $2,189 (USD; Tot_Drug_Cst)2022 Drug cost: $247 (USD; Tot_Drug_Cst)2023 Drug cost: $285,542 (USD; Tot_Drug_Cst)2024 Drug cost: $1,211,603 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R18$4,266
2018N/RN/RN/R
20191436$1,962
20201842$2,134
20213043$2,189
2022N/R20$247
202352202$285,542
2024130691$1,211,603

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5675$149
96413Administration of chemotherapy into vein, 1 hour or less61170$116
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more169581$104
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more104160$73
G2211Visit 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's90144$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LenalidomideLenalidomide21567$272,723
TagrissoOsimertinib Mesylate12360$222,920
EliquisApixaban501,718$33,444
Abiraterone AcetateAbiraterone Acetate21750$22,864
AnastrozoleAnastrozole413,690$1,060

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Chad Michael Guenther, MD?

Tedicare shows public-source Medicare data for Chad Michael Guenther, MD (NPI 1063874758), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Chad Michael Guenther, MD have ACO affiliation data?

Chad Michael Guenther, MD is shown with ACO affiliation data for Aledade A3299 CA MSSP Enhanced (MSSP, ACO ID A3299).

What billing organization is linked to Chad Michael Guenther, MD?

Chad Michael Guenther, MD is linked to SANSUM CLINIC (billing NPI 1932121514) in the available physician profile data.

Does Chad Michael Guenther, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.