Who Paid My Doc
Karl Guter
Hematology & Oncology Great Falls, MT Medical Doctor
NPI 1437150331 CMS profile 109950
3000 15Th Avenue South, Great Falls, MT 59405
General payments
$8,619
Research payments
$0
Ownership & investment interest
$0
Research they led as principal investigator
$191,456
Through program year 2025, Karl Guter of Great Falls, MT is reported in the CMS Open Payments database as having received $8,619 across 427 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $191,456 in research payments, paid to institutions rather than to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 68th percentile of Hematology & Oncology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
7 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $1,076 | 32 | |
| 2024 | General | $2,481 | 115 | |
| 2023 | General | $2,073 | 88 | |
| 2022 | General | $495 | 12 | |
| 2021 | General | $526 | 33 | |
| 2020 | General | $312 | 23 | |
| 2019 | General | $1,656 | 124 |
Beside peers
- Karl Guter
- Hematology & Oncology median
- Middle half of Hematology & Oncology
- National median
In program year 2025, general payments to Karl Guter were reported at $1,076. Among 8,769 Hematology & Oncology profiles paid that year, the median was $683 and the middle half received between $143 and $3,154.
Show as a table
| Year | Karl Guter | Hematology & Oncology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $1,656 | $529 | $121–$2,516 | $163 |
| 2020 | $312 | $339 | $82–$2,213 | $114 |
| 2021 | $526 | $263 | $49–$1,965 | $132 |
| 2022 | $495 | $416 | $103–$2,395 | $149 |
| 2023 | $2,073 | $542 | $125–$2,646 | $160 |
| 2024 | $2,481 | $692 | $141–$3,008 | $164 |
| 2025 | $1,076 | $683 | $143–$3,154 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 37 drugsPart D claims
867
Drug cost
$495,382
Branded share of claims
18.3%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Ibrance Palbociclib | Brand | 12 | $187,953 | |
| Jakafi Ruxolitinib Phosphate | Brand | 16 | $132,344 | |
| Abiraterone Acetate | Generic | 16 | $73,424 | |
| Brukinsa Zanubrutinib | Brand | 12 | $45,285 | |
| Eliquis Apixaban | Brand | 37 | $43,353 | |
| Opfolda Miglustat | Brand | 12 | $3,773 | |
| Letrozole | Generic | 74 | $1,952 | |
| Imatinib Mesylate | Generic | 12 | $1,576 | |
| Hydroxyurea | Generic | 17 | $505 | |
| Losartan Potassium | Generic | 39 | $409 |
The 10 drugs with the highest cost, of 37 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,431 Part D prescribers listed as Medical Oncology; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 24 billing codesPaid by Medicare
$91,789
Medicare patients
258
Services billed
1,881
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 68% | |
| Cancer | 57% | |
| Arthritis | 36% | |
| Diabetes | 26% | |
| Ischemic heart disease | 25% | |
| COPD | 18% | |
| Depression | 18% | |
| Osteoporosis | 18% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Vaccine for influenza for injection into muscle 90662 | Office | 13 | 13 | $1,064 |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Payments and prescribing
First 5 of 60 products · payments 2024Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| AYVAKIT |
|
$194 | — | — |
| RYBREVANT |
|
$182 | — | — |
| KEYTRUDA |
|
$153 | — | — |
| OPDIVO |
|
$125 | — | — |
| BRUKINSA |
|
$102 | 12 | — |
A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.
See more in the dashboard: 25 with a free account, all 60 with PatronRecords
427 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Other Hematology & Oncology in Montana
Related records
Hematology & Oncology in Montana
Practitioners in the same specialty and state, ranked by reported value.
All Hematology & Oncology
Everyone recorded under this specialty, nationwide.
Doctors in Montana
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.