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GUTHRIE MEDICAL GROUP, P.C.

General Practice·SAYRE, PA·NPI: 1245246644Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $82.2M is at the 50th percentile among 6 General Practice providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$82.2M

$82,194,369

Total Claims

1.9M

Beneficiaries

1.8M

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+33%
2019
$5.4M
+24%
2020
$6.7M
+149%
2021
$16.6M
+13%
2022
$18.8M
-4%
2023
$18.1M
-31%
2024
$12.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 33% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$27.1M

274K claims · 33.0%

Your Cost: $98.97/claim|Median: $53.41
1.9× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$19.5M

283K claims · 23.8%

Your Cost: $69.12/claim|Median: $37.81
1.8× median
U0003Top 25%

Infectious disease detection (COVID-19)

$2.0M

24K claims · 2.5%

Your Cost: $83.43/claim|Median: $63.08
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.9M

21K claims · 2.4%

Your Cost: $92.01/claim|Median: $75.18
1.2× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$1.8M

12K claims · 2.2%

Your Cost: $146.06/claim|Median: $84.03
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

20K claims · 2.0%

Your Cost: $83.32/claim|Median: $69.35
1.2× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.7M

12K claims · 2.0%

Your Cost: $140.47/claim|Median: $100.62
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.5M

16K claims · 1.9%

Your Cost: $94.18/claim|Median: $74.82
1.3× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$1.3M

13K claims · 1.6%

Your Cost: $96.83/claim|Median: $57.85
1.7× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$1.2M

3,805 claims · 1.5%

Your Cost: $326.13/claim|Median: $144.30
2.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.1M

16K claims · 1.4%

Your Cost: $69.44/claim|Median: $35.80
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$1.1M

13K claims · 1.3%

Your Cost: $82.36/claim|Median: $65.76
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$882K

8,491 claims · 1.1%

Your Cost: $103.87/claim|Median: $80.15
1.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$656K

29K claims · 0.8%

Your Cost: $22.34/claim|Median: $12.93
1.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$630K

54K claims · 0.8%

Your Cost: $11.76/claim|Median: $9.80
1.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$615K

36K claims · 0.7%

Your Cost: $17.31/claim|Median: $9.87
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$612K

4,333 claims · 0.7%

Your Cost: $141.28/claim|Median: $74.09
1.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$602K

10K claims · 0.7%

Your Cost: $58.10/claim|Median: $39.33
1.5× median
80053Top 25%

Comprehensive metabolic panel

$585K

55K claims · 0.7%

Your Cost: $10.68/claim|Median: $7.24
1.5× median
82306Top 25%

Vitamin D, 25 hydroxy

$529K

17K claims · 0.6%

Your Cost: $31.39/claim|Median: $18.18
1.7× median
80061Top 25%

Lipid panel

$398K

30K claims · 0.5%

Your Cost: $13.42/claim|Median: $8.41
1.6× median
90472Normal range

Immunization administration, each additional vaccine

$365K

21K claims · 0.4%

Your Cost: $17.19/claim|Median: $11.79
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$365K

4,485 claims · 0.4%

Your Cost: $81.37/claim|Median: $54.68
1.5× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$346K

16K claims · 0.4%

Your Cost: $21.73/claim|Median: $15.76
1.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$324K

9,818 claims · 0.4%

Your Cost: $33.02/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$324K

9,806 claims · 0.4%

Your Cost: $33.04/claim|Median: $23.39
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$313K

6,888 claims · 0.4%

Your Cost: $45.46/claim|Median: $25.06
1.8× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$287K

8,825 claims · 0.3%

Your Cost: $32.47/claim|Median: $21.41
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$283K

39K claims · 0.3%

Your Cost: $7.33/claim|Median: $4.71
1.6× median
71046Normal range

Chest X-ray, 2 views

$273K

20K claims · 0.3%

Your Cost: $13.50/claim|Median: $8.92
1.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$266K

2,990 claims · 0.3%

Your Cost: $88.87/claim|Median: $77.33
1.1× median
70450Normal range

CT head/brain without contrast

$247K

6,489 claims · 0.3%

Your Cost: $38.04/claim|Median: $45.53
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$237K

19K claims · 0.3%

Your Cost: $12.73/claim|Median: $11.48
1.1× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$232K

26K claims · 0.3%

Your Cost: $9.01/claim|Median: $5.50
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$225K

30K claims · 0.3%

Your Cost: $7.58/claim|Median: $5.60
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$222K

46K claims · 0.3%

Your Cost: $4.84/claim|Median: $3.67
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$217K

6,205 claims · 0.3%

Your Cost: $35.01/claim|Median: $24.49
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$188K

1,644 claims · 0.2%

Your Cost: $114.49/claim|Median: $151.68
0.8× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$185K

9,162 claims · 0.2%

Your Cost: $20.23/claim|Median: $20.68
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$181K

1,686 claims · 0.2%

Your Cost: $107.10/claim|Median: $58.82
1.8× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$180K

1,395 claims · 0.2%

Your Cost: $129.34/claim|Median: $65.45
2.0× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$169K

1,683 claims · 0.2%

Your Cost: $100.17/claim|Median: $35.30
2.8× median
0352UTop 10%

$168K

1,691 claims · 0.2%

Your Cost: $99.51/claim|Median: $9.14
10.9× median
82607Top 25%

Cyanocobalamin (vitamin B-12)

$163K

11K claims · 0.2%

Your Cost: $14.32/claim|Median: $8.72
1.6× median
80050Top 10%

General health panel

$162K

2,595 claims · 0.2%

Your Cost: $62.27/claim|Median: $25.59
2.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$158K

7,154 claims · 0.2%

Your Cost: $22.02/claim|Median: $17.85
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$149K

4,954 claims · 0.2%

Your Cost: $30.00/claim|Median: $28.46
1.1× median
71045Top 25%

Chest X-ray, single view

$148K

19K claims · 0.2%

Your Cost: $7.91/claim|Median: $4.93
1.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$147K

3,183 claims · 0.2%

Your Cost: $46.31/claim|Median: $59.72
0.8× median
99223Top 10%

Initial hospital care, per day, high complexity

$144K

1,018 claims · 0.2%

Your Cost: $141.28/claim|Median: $67.32
2.1× median

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