Physician

Anthony H Guarino, MD

According to 2025 Medicare claims, Anthony Guarino, MD (NPI: 1619993847) practices interventional pain management (ipm), with the plurality of this provider's patient population coming from Effingham, IL. This provider's primary affiliated billing organization is SARAH BUSH LINCOLN HEALTH CENTER (NPI: 1568581379; TIN: 237098532) and primary practice location at 62401-2178. Guarino is affiliated with the IRCCO (ACO ID: A2619) and SSM IL ACO, LLC (ACO ID: A4832), participating under the MSSP model.

Guarino's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 757 traditional Medicare patients, billed 34,960 HCPCS/CPT codes, and received $359,799 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 204 prescription claims across 111 beneficiaries totaling $2,321 in drug costs, led by Gabapentin (Gabapentin). Open Payments data shows 47 records totaling $1,434. 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's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $162,147 and ending at $359,799. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,280,270 to $2,321. 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$180K$360K2015 Medicare payment: $162,147 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $152,311 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $151,232 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $132,159 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $147,679 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $206,060 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $170,700 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $32,232 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $226,164 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $359,799 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155312,645$162,147
20164952,474$152,311
20175062,328$151,232
20184852,235$132,159
20195252,282$147,679
20202533,004$206,060
20212212,229$170,700
2022290535$32,232
202346024,387$226,164
202475734,960$359,799

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$640K$1.3M2015 Drug cost: $1,280,270 (USD; Tot_Drug_Cst)2016 Drug cost: $1,010,985 (USD; Tot_Drug_Cst)2017 Drug cost: $923,102 (USD; Tot_Drug_Cst)2018 Drug cost: $736,018 (USD; Tot_Drug_Cst)2019 Drug cost: $303,428 (USD; Tot_Drug_Cst)2020 Drug cost: $104,729 (USD; Tot_Drug_Cst)2021 Drug cost: $123,761 (USD; Tot_Drug_Cst)2022 Drug cost: $203,820 (USD; Tot_Drug_Cst)2023 Drug cost: $6,963 (USD; Tot_Drug_Cst)2024 Drug cost: $2,321 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155165,746$1,280,270
20165015,508$1,010,985
20175035,299$923,102
20184634,762$736,018
20196323,381$303,428
20203152,776$104,729
20213242,131$123,761
20221,3636,053$203,820
2023144312$6,963
2024111204$2,321

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
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level182220$213
62323Injection of substance into lower spine canal using imaging guidance224272$184
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4382,272$1
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml34924,425$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2214,030$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin33988$383
CelecoxibCelecoxib21720$319
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen15266$296
Doxycycline MonohydrateDoxycycline Monohydrate14140$187
MethylprednisoloneMethylprednisolone1484$145

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.47$1,434Abbott Laboratories
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Anthony H. Guarino, MD?

Tedicare shows public-source Medicare data for Anthony H. Guarino, MD (NPI 1619993847), 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 Anthony H. Guarino, MD have ACO affiliation data?

Anthony H. Guarino, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and SSM IL ACO, LLC (MSSP, ACO ID A4832).

What billing organization is linked to Anthony H. Guarino, MD?

Anthony H. Guarino, MD is linked to SARAH BUSH LINCOLN HEALTH CENTER (billing NPI 1568581379) in the available physician profile data.

Does Anthony H. Guarino, MD have Open Payments data?

Anthony H. Guarino, MD has 47 connected Open Payments records in the available 2024 summary 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.