Guttmacher, Thomas

Guttmacher, Thomas was paid $133K by Medicaid between Mar 2018 and Jun 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoGUTTMACHER, THOMAS
RIVERSIDE, RI 02915

33aNPI1215085816assigned 01/08/2007

33bProvider typeFamily Medicine Physician

28Total paid$133K

24GClaims2,891

24DCodes billed12

24AFirst – last monthMar 2018 – Jun 2023

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#46 of 220

Median peer was paid$33K

This provider vs. median4.0×

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
2018	356	$12K
2020	746	$37K
2021	747	$38K
2022	640	$27K
2023	402	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	1,205	1,109	$47K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	34%	796	750	$45K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	21%	157	144	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.5%	326	300	$9K
80305		1.2%	228	216	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$1K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	34	31	$945.00
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$871.40
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	<1%	58	54	$865.96
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	29	$210.60
36415	Collection of venous blood by venipuncture	<1%	21	12	$85.19
83036	Hemoglobin; glycosylated (A1C)	<1%	12	12	$67.03

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.