Dr. Carlos Guanche, M.D.
Contact & Location
424-314-7630
Tarzana, CA 91356
Van Nuys, CA 91405
Dr. Guanche performs more shoulder replacement procedures than 52% of orthopedic surgeons in California, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #66 of 139 ranked shoulder surgeons in California.
About Dr. Guanche
Dr. Carlos Guanche is a board-certified orthopedic surgeon practicing in Tarzana, California. A Medicare provider since 2006, Dr. Guanche performed 24 Medicare-verified shoulder replacements (#66 in California) and 14 hip replacements in the latest annual CMS data, for a combined total of 38 procedures.
In California, Dr. Guanche performs below the state average in shoulder (24 vs 31), below the state average in hip (14 vs 41).
Dr. Guanche's reported Medicare volume is split between shoulder replacements (24 cases) and hip replacements (14 cases).
Tarzana is home to 2 orthopedic surgeons in the current Medicare dataset. Patients in the Tarzana area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Medicare records for Dr. Guanche extend back to 2013, covering 12 years of data. Over that period, recorded procedure volume increased from 31 to 38 in the most recent data, a 23% increase. This sustained growth reflects an expanding joint replacement practice.
Among 2,217 shoulder replacement surgeons tracked nationally, Dr. Guanche's 24 verified procedures is near the national average of 29.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Shoulder Replacement |
|---|---|---|
| 2013 | 0 | 31 |
| 2014 | 0 | 38 |
| 2015 | 0 | 26 |
| 2016 | 0 | 27 |
| 2017 | 0 | 27 |
| 2018 | 0 | 22 |
| 2019 | 13 | 19 |
| 2020 | 18 | 17 |
| 2021 | 16 | 18 |
| 2022 | 0 | 21 |
| 2023 | 17 | 14 |
| 2024 | 14 | 24 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 29% to 37% for shoulder replacement, 25% to 33% for hip replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Guanche Compares
Procedure volume compared to the California state average.
Volume Trend Analysis
Dr. Guanche's Medicare-recorded procedure volume has trended upward over 12 years, increasing 23% from 31 procedures in 2013 to 38 in the most recent data.
Hospital Affiliations & Quality
Quality ratings and complication rates are hospital-level metrics from CMS Hospital Compare and do not reflect individual surgeon performance. Star ratings updated quarterly. Complication data covers a rolling 3-year period.
Patient Resources: Preparing for Shoulder Replacement
If you are considering shoulder replacement surgery, these evidence-based guides can help you prepare and recover:
A step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
Medicare Coverage for Joint ReplacementWhat Medicare Part A and Part B cover for joint replacement surgery, including hospital stays, surgeon fees, anesthesia, and physical therapy.
Shoulder Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after shoulder replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full shoulder replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Guanche
How does Dr. Guanche's procedure volume compare to other California surgeons?
Dr. Guanche has performed 38 Medicare-verified joint replacement procedures. The California average is 68 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Guanche ranks #339 out of 613 orthopedic surgeons in California.
What types of joint replacement does Dr. Guanche perform?
Dr. Guanche's Medicare data shows procedures in shoulder replacement (24 cases) and hip replacement (14 cases).
Are there other orthopedic surgeons near Dr. Guanche in Tarzana?
Yes. There are 2 orthopedic surgeons in Tarzana in the current Medicare dataset. Patients can compare procedure volumes and specializations to choose the surgeon who best fits their needs. Use the state page to view all California surgeons.
What does the Medicare data for Dr. Guanche represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 29% to 37% for shoulder replacement, 25% to 33% for hip replacement, which puts Dr. Guanche's total volume across all insurers at roughly 110 to 140 procedures against the 38 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Guanche's procedure volume changed over time?
Yes. Dr. Guanche's Medicare-recorded volume has increased from 31 procedures in 2013 to 38 in the most recent data, a 23% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 38 procedures in 2024.
Does Dr. Guanche perform more than one type of joint replacement?
Yes. Dr. Guanche's Medicare data shows procedures in shoulder replacement (24 cases), hip replacement (14 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Guanche affiliated with?
According to CMS facility affiliation data, Dr. Guanche is affiliated with Cedars-Sinai Medical Center, Providence Cedars Sinai Tarzana Medical Center.
What are the quality ratings for hospitals where Dr. Guanche practices?
Cedars-Sinai Medical Center (5 out of 5 CMS stars, hip/knee complication rate similar to national average); Providence Cedars Sinai Tarzana Medical Center (3 out of 5 CMS stars, hip/knee complication rate similar to national average). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Tarzana, California
Dr. Guanche's 38 Medicare procedures are below the Tarzana average of 124. The table below compares verified procedure volumes for orthopedic surgeons practicing in Tarzana.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Erik Zeegen | 210 | Hip, Knee |
Patient Resources & Verification
Research reviews, verify credentials, and check official quality data through these trusted sources:
Medicare Care Compare and NPI Registry are official U.S. government sources. Google reviews reflect user-submitted feedback. OrthoProcedures.com does not verify the accuracy of third-party review content.