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 & MedicaidSai Gutti
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    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

    Sai Gutti — Billing Profile & Reimbursement Data

    NPI 1992805410 · Pikeville, KY · Interventional Pain Medicine Physician

    Customize your policy alerts

    Sign up for Sai Gutti — 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.

    Sai Gutti is a interventional pain medicine physician provider located in Pikeville, Kentucky. This profile covers 8 Medicare and 8 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 TypeIndividual
    OrganizationSai Gutti
    Address515 N Bypass Rd
    CityPikeville
    StateKY
    ZIP41501
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedSeptember 24, 2006

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

    Payer SourceTotal Paid
    Medicaid$591.1K
    Medicare$16K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.80$60$4.7K
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.40$60$2.6K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…30$60$2.1K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…20$80$1.8K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…20$60$1.5K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…20$60$1.4K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.20$70$1.4K
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…10$40$460

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6464051080$90$7.1K
    0014212831030$80$6.6K
    0081114855020$80$2.9K
    008139433020$100$2.4K
    0073127072020$80$2.3K
    0081212231020$80$2.3K
    01922136010$100$1.8K
    6444711614020$40$1.2K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…6,420$30$179.8K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2,000$70$135.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…700$140$95.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2,020$50$90.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…500$70$36.9K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg730$40$31.9K
    A4550Surgical trays820$30$20.5K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg50$50$2.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    8 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.1823402,700$40$673.3K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…711402,000$60$639.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…7423,3401,020$30$296K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…2780260$190$182.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…2521,020120$70$62K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg1050150$20$11K
    A4550Surgical trays310170$10$6.2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg166240190$10$5.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Pikeville Medical Center IncKYGeneral Acute Care Hospital$0$181.5M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Pikeville Medical Center Inc.KYMulti-Specialty Clinic/Center$0$34.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0

    Nearby Providers

    Other providers in the same ZIP code as Sai Gutti, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dungarvin Kentucky, LLC - PikevilleKYDevelopmentally Disabled Services Day Training Agency$0$16.3M
    Appalachian Community Care LLCKYProfessional Counselor$0$13.1M
    Joshua RaleighKYPediatric Dentistry$0$7.8M
    Bhg Xxv, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$228K$6.3M
    Renew Residential Treatment ServicesKYSubstance Abuse Rehabilitation Facility$0$4.9M
    Stepping Stones LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$4.6M
    Chad StreetKYOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Sujata GuttiKYNeurology Physician$82.9K$3.7M
    Addiction Recovery Care LLCKYSubstance Abuse Rehabilitation Facility$0$3.7M
    Compassion ServicesKYRural Health Clinic/Center$0$3.3M

    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. Kentucky Distribution
    Sai Gutti — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Sai Gutti — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky