Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gutharie Medical Group, P.C.

Gutharie Medical Group, P.C. was paid $156K by Medicaid between Nov 2018 and Dec 2024, across 24 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 35% of everything it billed.

33Billing provider infoGUTHARIE MEDICAL GROUP, P.C.
SAYRE, PA 18840
33aNPI1891747010assigned 05/16/2006
28Total paid$156K
24GClaims5,496
24DCodes billed24
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania

Rank by total paid#17 of 163
Median peer was paid$15K
This provider vs. median10×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SCOPELLITI, JOSEPH controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201814$172.48
2019131$1K
2020242$5K
20211,049$40K
20221,047$36K
20231,072$24K
2024incomplete1,941$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 35% 333 322 $54K
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 29% 615 575 $45K
80053 Comprehensive metabolic panel 9.1% 1,264 1,238 $14K
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 6.6% 444 419 $10K
84443 Thyroid stimulating hormone (TSH) 4.2% 535 527 $7K
80061 Lipid panel 4.0% 638 637 $6K
0202U Oncology (prostate), multianalyte, gene expression profiling 2.5% 13 13 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.9% 80 80 $3K
87631 1.4% 16 16 $2K
87081 1.4% 341 335 $2K
85027 1.0% 334 331 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 276 259 $1K
12 more codes
87086 Culture, bacterial; quantitative colony count, urine <1% 98 $1K
84439 <1% 80 $888.53
87070 <1% 79 $830.29
83036 Hemoglobin; glycosylated (A1C) <1% 59 $667.51
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 15 $414.60
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 15 $414.60
87077 <1% 27 $281.34
86140 <1% 39 $207.10
80048 Basic metabolic panel (calcium, ionized) <1% 16 $149.98
87186 <1% 13 $110.50
85651 <1% 14 $36.12
36415 Collection of venous blood by venipuncture <1% 152 $19.73

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.

From NPPES

Who's on the registration

Authorized officialSCOPELLITI, JOSEPH (PRESIDENT)
Same official

Other billing entities under SCOPELLITI, JOSEPH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.