Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlton Guthrie
    Ask Trek AI about this page

    Carlton Guthrie — Billing Profile & Reimbursement Data

    NPI 1457392276 · Athens, GA · Certified Registered Nurse Anesthetist

    Customize your policy alerts

    Sign up for Carlton Guthrie — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Carlton Guthrie is a certified registered nurse anesthetist provider located in Athens, Georgia. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlton Guthrie
    Address195 King Ave
    CityAthens
    StateGA
    ZIP30606
    TaxonomyCertified Registered Nurse Anesthetist
    NPI EnumeratedJune 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$38.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01844The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.100$150$14K
    01924The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arterial system. This code is used for anesthesia procedures not…50$170$8.7K
    01916The provider performs anesthesia services for a patient undergoing diagnostic arteriography or venography.50$140$6.9K
    01930The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the venous/lymphatic system. Use this code for anesthesia procedures…50$130$6.5K
    00532The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…10$110$1.5K
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.10$100$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0193041030$140$5.3K
    0184435010$130$3.4K
    0191622020$130$3K
    0192411020$160$2.8K
    014806712010$90$1.5K
    00532113010$80$1.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlton Guthrie, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary's Good Samaritan Hospital, Inc.GAMedicare Defined Swing Bed Hospital Unit$0$5.1M
    Putnam General Hospital AuthorityGAOxygen Equipment & Supplies (DME)$0$3.3M
    Daniel ThomasGAInterventional Pain Medicine Physician$288.3K$0
    Anil PuriGAInternal Medicine Physician$182.1K$0
    J. RheudasilGAVascular Surgery Physician$174.3K$0
    Dennis WelchGAEmergency Medicine Physician$153K$0
    Ajay KumarGAInternal Medicine Physician$135.3K$0
    Dragos FilimonGAInternal Medicine Physician$124.2K$0
    Jessica BaneGACertified Registered Nurse Anesthetist$91.7K$0
    Ngan PhamGAAnesthesiology Physician$80.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Carlton Guthrie — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia