Guterson, John

Guterson, John was paid $400K by Medicaid between Sep 2020 and Dec 2024, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 55% of everything it billed.

33Billing provider infoGUTERSON, JOHN
PITTSBURGH, PA 15217

33aNPI1093744583assigned 06/30/2006

33bProvider typePsychiatry Physician

28Total paid$400K

24GClaims3,249

24DCodes billed7

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#42 of 244

Median peer was paid$30K

This provider vs. median13×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	292	$14K
2021	210	$26K
2022	76	$8K
2023	494	$58K
2024incomplete	2,177	$294K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	55%	1,733	1,138	$218K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	22%	746	492	$89K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	318	215	$42K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	6.9%	145	73	$28K
99205	Prolong outpt/office vis	4.7%	83	76	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	191	24	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	33	17	$704.93

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.