JUAN EDUARDO GUZMAN, MD
NPI 1972521045, individual, Santa Maria, CA, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99214 ($263 per patient-month) sit in the top 5% of every provider billing that code.
- 61% of Medicaid dollars are on codes with a history of abuse.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2024 | More hours than a day holds at a conservative unit price | 8.5 | 37.6 | 25.0 | 33.8 | 486 | 1 | 90833 99214 99215 | $93K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JUAN EDUARDO GUZMAN, MD (also J GUZMAN) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 17, 2006, last updated February 25, 2025 |
| Practice location | 201 S MILLER ST STE 103, Santa Maria, CA 93454-5248, 805-314-2175 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license A 38124 CA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $1.3M | 61% | $263 | $88 (top 5% from $210) | 97th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $469K | 21% | $173 | $60 (top 5% from $133) | 99th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $365K | 17% | $87 | $49 (top 5% from $109) | 92nd percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $32K | 1% | $192 | $128 (top 5% from $249) | too few months to rank |
In this area
25 providers in Santa Barbara County, CA carry an indicator in the public record, with $21.2M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by part of a provider network on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | MAGDALENA SERRANO Santa Maria, CA, ranked 751 | $933 |
|
| 3 | COVENANT LIVING WEST Santa Barbara, CA, ranked 2614 | $0 |
|
| 3 | SANTA BARBARA HOME HEALTH INC. Santa Barbara, CA, ranked 3486 | $0 |
|
| 3 | SANTA BARBARA HOSPICE AND PALLIATIVE CARE INC Santa Barbara, CA, ranked 4210 | $0 |
|
| 3 | MISSION PARK HEALTH CENTER LLC Santa Barbara, CA, ranked 5823 | $0 |
|
| 3 | VALLEY OAKS POST ACUTE LLC Santa Maria, CA, ranked 6889 | $0 |
|
| 3 | SANTA MARIA POST ACUTE LLC Santa Maria, CA, ranked 7020 | $0 |
|
| 4 | SHANE ROSTERMUNDT Santa Maria, CA, ranked 7522 | $3.5M |
|
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.