Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GUTHRIE MEDICAL GROUP, P.C.

NPI: 1245246644 · SAYRE, PA 18840 · Multi-Specialty Clinic/Center · NPI assigned 07/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCOPELLITI, JOSEPH controls 15+ related entities in our dataset. Read more

$82.19M
Total Medicaid Paid
1,899,181
Total Claims
1,802,967
Beneficiaries
414
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCOPELLITI, JOSEPH (PRESIDENT)
NPI Enumeration Date07/31/2006

Related Entities

Other providers sharing the same authorized official: SCOPELLITI, JOSEPH

ProviderCityStateTotal Paid
GUTHRIE MEDICAL GROUP PC SAYRE PA $2.94M
VNA HEALTH SYSTEM SHAMOKIN PA $192K
GUTHARIE MEDICAL GROUP, P.C. SAYRE PA $156K
GUTHRIE MEDICAL GROUP, P.C. CORNING NY $77K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $41K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $17K
GUTHRIE MEDICAL GROUP, P.C. DUSHORE PA $13K
GUTHRIE MEDICAL GROUP, P.C. WELLSBORO PA $10K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $6K
GUTHRIE MEDICAL GROUP, P.C. TROY PA $5K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $3K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $3K
GUTHRIE MEDICAL GROUP, P.C. TOWANDA PA $2K
GUTHRIE MEDICAL GROUP, P.C. SAYRE PA $1K
GUTHRIE MEDICAL GROUP PC SAYRE PA $178.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111,699 $4.05M
2019 151,752 $5.39M
2020 186,280 $6.67M
2021 369,564 $16.60M
2022 385,300 $18.84M
2023 403,232 $18.15M
2024 291,354 $12.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 274,083 260,775 $27.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 282,590 266,078 $19.53M
U0003 Infectious 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 throughput technologies as described by cms-2020-01-r 24,484 22,749 $2.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 21,128 20,967 $1.94M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,366 12,309 $1.81M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20,007 19,190 $1.67M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 11,862 11,535 $1.67M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,404 16,345 $1.54M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,474 13,424 $1.30M
0202U Oncology (prostate), multianalyte, gene expression profiling 3,805 3,728 $1.24M
88305 Level IV - Surgical pathology, gross and microscopic examination 16,057 15,686 $1.11M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,232 13,084 $1.09M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,491 8,462 $882K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29,371 25,119 $656K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53,554 53,144 $630K
84443 Thyroid stimulating hormone (TSH) 35,525 34,929 $615K
99215 Prolong outpt/office vis 4,333 4,048 $612K
77067 Screening mammography, bilateral, including computer-aided detection 10,368 10,344 $602K
80053 Comprehensive metabolic panel 54,835 53,070 $585K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16,852 16,687 $529K
80061 Lipid panel 29,656 29,335 $398K
90472 Immunization administration, each additional vaccine (list separately) 21,227 21,178 $365K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,485 4,446 $365K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 15,900 14,802 $346K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,818 9,687 $324K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,806 9,674 $324K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,888 6,690 $313K
77063 Screening digital breast tomosynthesis, bilateral 8,825 8,799 $287K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,644 36,745 $283K
71046 Radiologic examination, chest; 2 views 20,182 19,969 $273K
90847 Family psychotherapy with the patient present, 50 minutes 2,990 2,727 $266K
70450 Computed tomography, head or brain; without contrast material 6,489 6,370 $247K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18,578 18,254 $237K
83036 Hemoglobin; glycosylated (A1C) 25,786 25,496 $232K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 29,644 26,383 $225K
96127 45,909 45,747 $222K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,205 2,464 $217K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,644 1,633 $188K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9,162 4,347 $185K
67028 Intravitreal injection of a pharmacologic agent 1,686 1,491 $181K
87631 1,395 1,374 $180K
99233 Prolong inpt eval add15 m 1,683 786 $169K
0352U 1,691 1,658 $168K
82607 11,361 11,268 $163K
80050 General health panel 2,595 2,458 $162K
90460 Immunization administration through 18 years of age via any route, first or only component 7,154 7,062 $158K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,954 4,875 $149K
71045 Radiologic examination, chest; single view 18,687 16,350 $148K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,183 3,169 $147K
99223 Prolong inpt eval add15 m 1,018 989 $144K
76830 Ultrasound, transvaginal 2,654 2,640 $142K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,040 2,963 $141K
92551 13,242 13,104 $141K
20610 2,995 2,734 $138K
87086 Culture, bacterial; quantitative colony count, urine 16,555 15,914 $136K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,624 2,588 $133K
87660 6,199 6,037 $131K
84439 14,953 14,636 $131K
82746 9,394 9,313 $130K
87081 19,590 19,192 $129K
93000 8,324 8,124 $129K
V2020 Frames, purchases 10,846 10,452 $128K
90686 19,372 19,277 $128K
85027 18,857 18,581 $126K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,508 1,474 $126K
87480 5,789 5,639 $124K
73564 4,034 3,984 $123K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,851 1,822 $118K
92134 3,331 3,167 $116K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,179 3,153 $116K
83970 2,602 2,557 $107K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,369 1,351 $106K
82728 7,361 7,231 $96K
71275 Computed tomographic angiography, chest, with contrast material 1,077 1,064 $94K
87510 4,909 4,817 $93K
95886 1,005 946 $90K
87507 236 234 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,436 1,428 $86K
99232 Subsequent hospital care, per day, moderate complexity 1,754 774 $81K
73610 4,243 4,128 $81K
73630 4,355 4,274 $81K
99205 Prolong outpt/office vis 431 425 $78K
76642 1,960 1,948 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,528 1,488 $75K
80048 Basic metabolic panel (calcium, ionized) 8,394 8,077 $74K
76536 1,309 1,302 $67K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,109 1,032 $66K
93971 882 863 $65K
73110 2,946 2,824 $64K
92567 4,670 4,626 $64K
92557 1,995 1,972 $63K
73030 2,967 2,916 $62K
86803 3,837 3,812 $61K
0001A 1,457 1,453 $58K
0002A 1,361 1,358 $58K
73221 650 638 $58K
45380 Colonoscopy, flexible; with biopsy, single or multiple 347 343 $54K
72110 1,663 1,649 $52K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,315 1,262 $49K
92002 1,242 1,237 $49K
83721 4,717 4,700 $48K
73130 2,373 2,305 $48K
83540 6,934 6,812 $47K
83550 5,860 5,735 $46K
99239 Hospital discharge day management, more than 30 minutes 537 530 $44K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,763 1,754 $44K
86762 2,728 2,699 $43K
87186 4,926 4,758 $43K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 181 179 $43K
88307 541 531 $42K
90474 3,651 3,648 $42K
83880 1,087 1,055 $41K
82043 6,271 6,196 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material 776 770 $40K
82570 6,832 6,695 $40K
76801 540 526 $40K
90715 3,001 2,982 $40K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 918 909 $39K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 392 388 $38K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 746 715 $38K
94060 1,275 1,271 $36K
93975 435 431 $35K
84481 1,843 1,825 $35K
76819 Fetal biophysical profile; without non-stress testing 775 580 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 368 365 $34K
99222 Initial hospital care, per day, moderate complexity 299 295 $34K
93923 377 372 $33K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,772 1,738 $33K
84480 2,497 2,461 $32K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 71 71 $32K
97597 913 473 $32K
73502 1,253 1,228 $31K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 869 817 $30K
94729 919 918 $29K
71271 493 493 $29K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 990 492 $29K
99460 485 472 $28K
83001 1,513 1,498 $28K
87340 2,386 2,365 $27K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 703 696 $26K
81003 10,728 10,462 $26K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,521 1,519 $25K
88304 1,618 1,609 $25K
0012A 635 635 $25K
84146 1,167 1,142 $25K
86140 5,226 4,940 $25K
88342 600 595 $24K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,183 587 $24K
86703 1,770 1,766 $24K
85651 6,085 5,825 $24K
83525 2,085 2,063 $24K
83735 3,266 3,047 $22K
90670 11,124 11,066 $22K
64615 167 166 $22K
99238 Hospital discharge day management, 30 minutes or less 414 408 $22K
84702 1,371 1,041 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,655 2,320 $22K
86850 2,176 2,146 $21K
36415 Collection of venous blood by venipuncture 76,246 71,528 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete 347 342 $20K
87506 88 88 $20K
98940 1,908 1,351 $19K
73562 694 682 $19K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 877 449 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,133 1,049 $19K
85610 4,530 3,374 $18K
80074 330 329 $17K
83655 1,522 1,483 $17K
00142 215 181 $17K
86618 966 962 $17K
0011A 505 501 $17K
84134 1,088 1,074 $17K
83002 934 927 $17K
72125 Computed tomography, cervical spine; without contrast material 327 325 $16K
84153 816 803 $16K
84403 613 608 $16K
93970 178 178 $16K
95117 1,410 688 $15K
77065 Tomosynthesis, mammo 343 332 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,056 975 $15K
87070 1,652 1,622 $14K
70551 Magnetic resonance imaging, brain; without contrast material 108 108 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,092 983 $13K
90656 1,359 1,357 $13K
74018 828 798 $13K
82784 451 435 $13K
86431 2,063 2,049 $13K
83690 1,958 1,930 $13K
90698 7,579 7,556 $13K
84703 1,564 1,542 $13K
0071A 319 319 $13K
93296 782 763 $13K
94727 390 389 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 125 125 $13K
99152 801 800 $12K
85018 3,852 3,824 $12K
82670 481 449 $12K
96158 209 202 $12K
00731 98 96 $12K
99308 Subsequent nursing facility care, per day, straightforward 1,328 1,060 $11K
0072A 273 273 $11K
90680 7,170 7,132 $11K
88112 186 173 $11K
V2784 Lens, polycarbonate or equal, any index, per lens 21,923 10,571 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 121 119 $10K
0004A 247 247 $10K
93298 271 266 $10K
90651 1,750 1,733 $10K
72050 265 265 $9K
97161 117 117 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 80 15 $9K
82950 1,376 1,364 $9K
80076 983 974 $9K
81001 2,766 2,704 $9K
90633 4,835 4,807 $8K
71250 162 162 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 39 39 $8K
86900 2,229 2,200 $8K
86901 2,209 2,181 $8K
95816 245 243 $8K
87205 1,680 1,640 $8K
81025 1,116 1,101 $8K
86706 656 652 $8K
90744 3,109 3,082 $7K
74183 60 59 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 25 25 $7K
90838 62 62 $7K
88341 51 50 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 64 64 $7K
77080 487 487 $7K
73140 340 328 $7K
69210 215 202 $7K
90732 69 69 $7K
84144 349 317 $7K
76770 127 127 $6K
95913 25 25 $6K
94726 307 307 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 93 93 $6K
84550 1,141 1,108 $6K
96156 75 75 $6K
82550 856 812 $6K
00170 Anesthesia for intraoral procedures, including biopsy 31 31 $6K
80069 628 586 $6K
S0620 Routine ophthalmological examination including refraction; new patient 142 142 $6K
73080 294 281 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters 53 53 $5K
87077 648 621 $5K
90734 3,034 3,023 $5K
3074F 9,040 8,276 $5K
78815 Positron emission tomography (PET) for limited area imaging 49 49 $5K
0031A 112 110 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 165 83 $5K
90832 Psychotherapy, 30 minutes with patient 68 57 $5K
77066 Tomosynthesis, mammo 85 85 $5K
82150 712 707 $5K
J9035 Injection, bevacizumab, 10 mg 56 52 $4K
92015 Determination of refractive state 1,715 1,660 $4K
80055 103 103 $4K
82248 703 663 $4K
31575 43 42 $4K
00126 38 38 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 633 614 $4K
86308 622 618 $4K
90707 791 788 $4K
3078F 7,198 6,624 $4K
99459 180 180 $4K
93294 254 249 $4K
59025 Fetal non-stress test 114 100 $4K
90716 863 856 $4K
11102 53 53 $4K
81002 1,168 1,155 $4K
0064A 81 81 $3K
90710 1,292 1,281 $3K
90677 242 242 $3K
87427 272 268 $3K
82274 292 292 $3K
76981 140 140 $3K
90473 268 268 $3K
00811 28 27 $3K
78264 83 83 $3K
99385 24 24 $3K
87329 232 231 $3K
99244 Office or other outpatient consultation, moderate to high complexity 15 14 $3K
87147 595 581 $3K
90750 25 24 $3K
90696 1,108 1,096 $3K
87046 271 267 $3K
87045 271 267 $3K
51798 206 205 $2K
87328 195 194 $2K
97803 282 272 $2K
73590 158 155 $2K
95251 65 65 $2K
95910 25 25 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
31231 13 13 $2K
90688 164 164 $2K
93295 71 68 $2K
95909 26 26 $2K
3079F 2,125 2,024 $2K
86376 153 152 $2K
86160 147 87 $2K
99490 Ccm add 20min 384 384 $2K
90785 150 113 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 27 25 $2K
99462 67 54 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 89 87 $2K
82533 115 111 $2K
D0150 Comprehensive oral evaluation - new or established patient 70 67 $2K
0124A 42 42 $2K
92552 91 91 $2K
84156 430 406 $2K
73523 43 43 $2K
84100 284 255 $2K
96160 484 456 $2K
83615 236 215 $2K
82105 93 91 $2K
00813 13 13 $2K
90648 3,560 3,549 $1K
87075 136 133 $1K
76870 38 37 $1K
43237 12 12 $1K
73560 73 72 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 44 44 $1K
0054A 29 29 $1K
S0621 Routine ophthalmological examination including refraction; established patient 33 33 $1K
43235 12 12 $1K
96152 31 25 $1K
92556 51 51 $1K
92136 39 38 $1K
93016 68 68 $1K
85652 422 405 $1K
87493 24 24 $1K
97162 12 12 $997.34
93225 61 61 $977.10
70498 12 12 $972.87
92083 24 24 $966.92
93018 81 81 $892.57
86704 90 89 $866.70
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 26 25 $851.68
86800 46 46 $758.22
58300 12 12 $749.97
70486 13 13 $748.75
85705 79 76 $723.69
98928 13 12 $709.05
81015 237 231 $685.63
90723 2,248 2,239 $674.50
92558 232 229 $671.60
85045 163 147 $661.73
3075F 703 673 $615.00
93280 13 13 $598.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 681 555 $552.50
86592 166 166 $545.91
92250 12 12 $538.90
83718 75 75 $536.83
97802 14 14 $531.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 32 $510.24
78227 12 12 $506.42
95800 13 13 $492.57
90671 36 36 $491.91
85014 178 176 $490.56
86769 12 12 $455.04
20550 13 12 $454.30
G0444 Annual depression screening, 5 to 15 minutes 28 28 $441.00
99310 Prolong nursin fac eval 15m 51 48 $431.82
77062 13 13 $424.32
93226 12 12 $399.00
11721 12 12 $343.05
90697 26 26 $340.00
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 14 14 $320.15
92133 15 15 $314.88
93227 24 24 $311.22
J1010 Injection, methylprednisolone acetate, 1 mg 106 104 $309.76
85378 28 28 $291.71
94010 39 39 $288.79
90620 28 28 $247.42
73000 13 12 $243.99
85730 38 37 $235.75
90700 264 264 $218.50
80164 13 13 $214.79
85007 57 52 $213.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 15 $200.22
73090 14 13 $187.70
88720 25 24 $182.09
90672 397 393 $169.66
82951 12 12 $168.25
99318 25 25 $168.08
82565 26 25 $157.07
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $146.94
88302 13 13 $133.15
88311 12 12 $118.92
94760 870 832 $91.95
90685 248 248 $86.63
93325 13 13 $78.84
84460 14 14 $75.36
3044F 598 385 $70.00
82947 14 14 $69.34
84450 14 14 $69.14
99484 82 82 $68.19
82952 12 12 $47.47
96161 14 14 $36.92
91301 1,102 1,074 $26.46
91300 3,483 3,191 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 320 302 $0.00
3051F 28 26 $0.00
91322 13 13 $0.00
2022F 16 16 $0.00
3046F 21 12 $0.00
91307 682 649 $0.00
91306 70 70 $0.00
91303 108 108 $0.00
91305 150 145 $0.00
2023F 12 12 $0.00
J0178 Injection, aflibercept, 1 mg 53 50 $0.00