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.
SAYRE, PA 18840
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14 | $172.48 | |
| 2019 | 131 | $1K | |
| 2020 | 242 | $5K | |
| 2021 | 1,049 | $40K | |
| 2022 | 1,047 | $36K | |
| 2023 | 1,072 | $24K | |
| 2024incomplete | 1,941 | $50K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Guthrie Medical Group, P.C. | Sayre, PA | $82.19M |
| Guthrie Medical Group PC | Sayre, PA | $2.94M |
| Vna Health System | Shamokin, PA | $192K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.