Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kristen Gutermuth (NPI 1558386243)

Field	Value
Entity Type	Individual
Organization	Kristen Gutermuth
Address	2180 Main St
City	Wailuku
State	HI
ZIP	96793
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$4.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$230	$3.7K
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	270	$1	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Kristen Gutermuth — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85610	3	10	110	$1	$4.3K
99496	17	30	20	$190	$3.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Roh	CA	Ophthalmology Physician	$1.6M	$956.2K
Julie Gasperini	CA	Ophthalmology Physician	$1.5M	$0
Andrew Breithaupt	CA	MOHS-Micrographic Surgery Physician	$1.5M	$0
Shrikant Tamhane	CA	Family Medicine Physician	$722.5K	$353.8K
Roy Blumenstrauch	CA	Specialist	$1M	$0
Shelby Morrisroe	CA	Urology Physician	$580.2K	$0
David Klashman	CA	Rheumatology Physician	$572.9K	$0
Lawrence Flechner	CA	Urology Physician	$571.6K	$0
Kambiz Dardashti	CA	Urology Physician	$541.3K	$0
Peter Shin	CA	Family Medicine Physician	$463.1K	$850

Kristen Gutermuth — Billing Profile & Reimbursement Data

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Kristen Gutermuth — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References