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    OpenPayerNPI Medicare & MedicaidGuthrie Medical Group PC
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    Guthrie Medical Group PC — Billing Profile & Reimbursement Data

    NPI 1649225855 · Sayre, PA · Clinical Medical Laboratory

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    Guthrie Medical Group PC is a clinical medical laboratory provider located in Sayre, Pennsylvania. This profile covers 141 Medicare and 85 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGuthrie Medical Group PC
    Address1 Guthrie Sq
    CitySayre
    StatePA
    ZIP18840
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMay 24, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    Medicare$2.1M

    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.

    141 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.21,480$10$214.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…10,050$20$160.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.12,210$10$158.7K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…1,050$140$147.3K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…4,830$30$140.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…14,920$10$119.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…10,950$10$109.5K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…1,410$70$104.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10,990$10$88K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…1,500$40$57.1K

    Showing 1–10 of 141

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 141 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    141 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    876412230120$30$84.2K
    P96041020370$10$50.6K
    U0003520240$70$49.9K
    8030797100300$60$42.6K
    875911620210$30$34.2K
    P96038105,470$1$30.8K
    87086830490$10$27.9K
    874911420180$30$27K
    827845101,080$10$25.8K
    U0005730290$20$24.7K

    Showing 1–10 of 141

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    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    85 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…6,540$100$647.1K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…3,750$140$528.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.15,460$10$170K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…4,340$40$151.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…7,850$20$133.5K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…2,240$60$127.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.8,590$10$103.1K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…620$160$102.3K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.2,760$30$74.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.2,740$30$74K

    Showing 1–10 of 85

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    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    85 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.148210730$40$689.7K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…34200990$70$517.5K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…2560430$200$354.2K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.713980310$50$136.6K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…680420$100$130.6K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…2570270$50$108.2K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…32120150$100$92.4K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.39220420$20$91.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.523402,320$10$88.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.39220430$20$84.7K

    Showing 1–10 of 85

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Jedediah McclinticPAOphthalmology Physician$3.2M$18.9K
    Michael SchekallMNDiagnostic Radiology Physician$1.7M$710
    Monica GigantiNYRetina Specialist (Ophthalmology) Physician$1.3M$6.7K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    David SperberNYRetina Specialist (Ophthalmology) Physician$1M$39.1K
    Benjamin HarrisPADiagnostic Radiology Physician$527.8K$504.9K
    William WinnMNDiagnostic Radiology Physician$997.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Guthrie Medical Group PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert Packer HospitalPAGeneral Acute Care Hospital$0$13.8M
    Greater Valley Emergency Medical Services Inc.PALand Ambulance$512.8K$1.5M
    Didier AlipuiPASurgery Physician$901.5K$161.9K
    Shing ChinPARadiation Oncology Physician$935.2K$0
    Godfred Eyiah-mensahPAGeneral Practice Physician$355.9K$138.3K
    Pramod DeshmukhPACardiovascular Disease Physician$391K$7.9K
    Ferrol LeePAEndocrinology, Diabetes & Metabolism Physician$138.3K$154.6K
    Mason StilwellPAAdult Reconstructive Orthopaedic Surgery Physician$242.5K$580
    Steven RinehousePADiagnostic Radiology Physician$180.9K$26.1K
    Sudhakar SatturPAInterventional Cardiology Physician$178.8K$19.3K

    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. Pennsylvania Distribution
    Guthrie Medical Group PC — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Guthrie Medical Group PC — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania