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GUIRAND, ALCINTOM.D. NPI 1710243787 Clinician

Pain Management · JOHNSTOWN, PA

Specialty Pain Management — from billed Medicare claims
Trained UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 14 years since medical school (class of 2012, self-reported to CMS)
Location JOHNSTOWN, PA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 11 codes billed · 546 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
DLP CONEMAUGH PHYSICIAN PRACTICES LLC
2019–2026
VANTAGE PHYSICAL THERAPY AND REHABILITATION INC
2024
VANTAGE PHYSICAL THERAPY AND REHABILITATION INC
2022

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-02

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
62323 Injection of substance into lower spine canal using imaging guidance
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
20610 Aspiration and/or injection of fluid from large joint
20553 Injection of trigger points, 3 or more muscles
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
62321 Injection of substance into middle or upper spine canal using imaging guidance
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
77002 Fluoroscopic guidance for needle placement
64636 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.