Physician

Alcinto Steven Guirand, M.D.

According to 2025 Medicare claims, Alcinto Guirand, M.D. (NPI: 1710243787) practices pain management in the Johnstown, PA market, with the plurality of this provider's patient population coming from Cambria, PA. This provider's primary affiliated billing organization is DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI: 1205242609; TIN: 320442710) and primary practice location at 15904-3321. Guirand is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Guirand's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 274 traditional Medicare patients, billed 691 HCPCS/CPT codes, and received $47,834 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 339 prescription claims across 161 beneficiaries totaling $24,865 in drug costs, led by Gabapentin (Gabapentin). 2022 DME data shows 12 claims. Open Payments data shows 150 records totaling $2,874. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have fallen sharply in recent years, from $15,280 to $24,865. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $1,114 to $735.

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$37K$75K2017 Medicare payment: $26,068 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $59,352 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $74,661 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $71,182 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $64,979 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $64,325 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $58,899 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $47,834 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017254370$26,068
2018366917$59,352
20193801,013$74,661
2020320999$71,182
2021348893$64,979
2022331891$64,325
2023292842$58,899
2024274691$47,834

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$228K$456K2015 Drug cost: $15,280 (USD; Tot_Drug_Cst)2016 Drug cost: $200 (USD; Tot_Drug_Cst)2017 Drug cost: $131,364 (USD; Tot_Drug_Cst)2018 Drug cost: $455,948 (USD; Tot_Drug_Cst)2019 Drug cost: $367,409 (USD; Tot_Drug_Cst)2020 Drug cost: $255,966 (USD; Tot_Drug_Cst)2021 Drug cost: $289,120 (USD; Tot_Drug_Cst)2022 Drug cost: $237,537 (USD; Tot_Drug_Cst)2023 Drug cost: $119,569 (USD; Tot_Drug_Cst)2024 Drug cost: $24,865 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201527140$15,280
2016N/R11$200
20173441,392$131,364
20187713,720$455,948
20195472,178$367,409
20205622,600$255,966
20215362,501$289,120
20225222,314$237,537
20233871,336$119,569
2024161339$24,865

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$7.4K$15K2017 Medicare payment: $819 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $14,818 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,496 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,168 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $792 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $735 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R11$819
201826241$14,818
20192076$3,496
2020N/R50$3,168
2021N/R14$792
2022N/R12$735
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 level2230$92
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance72108$74
62323Injection of substance into lower spine canal using imaging guidance104152$65
20610Aspiration and/or injection of fluid from large joint3054$41
20553Injection of trigger points, 3 or more muscles2637$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin693,362$844
BaclofenBaclofen22874$512
MethocarbamolMethocarbamol341,140$319
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen13288$262
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen23391$236

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.150$2,874Abbott 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 Alcinto Steven Guirand, M.D.?

Tedicare shows public-source Medicare data for Alcinto Steven Guirand, M.D. (NPI 1710243787), 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 Alcinto Steven Guirand, M.D. have ACO affiliation data?

Alcinto Steven Guirand, M.D. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Alcinto Steven Guirand, M.D.?

Alcinto Steven Guirand, M.D. is linked to DLP CONEMAUGH PHYSICIAN PRACTICES LLC (billing NPI 1205242609) in the available physician profile data.

Does Alcinto Steven Guirand, M.D. have Open Payments data?

Alcinto Steven Guirand, M.D. has 150 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.