Physician

Brian Neil Guttormsen, MD

According to 2025 Medicare claims, Brian Guttormsen, MD (NPI: 1629045232) practices interventional cardiology in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI: 1831890177; TIN: 391127163) and primary practice location at 54913-8517. Guttormsen is affiliated with the THEDACARE ACO (ACO ID: A4988) and Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), participating under the MSSP model.

Guttormsen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 598 traditional Medicare patients, billed 1,731 HCPCS/CPT codes, and received $120,912 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,805 prescription claims across 896 beneficiaries totaling $1,485,046 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 36 records totaling $1,149. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $81,691 to $120,912. Similarly, Part D prescription costs have moved sharply higher in recent years, from $98,012 to $1,485,046. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$78K$155K2015 Medicare payment: $81,691 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $72,252 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $70,731 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,401 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $137,186 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $155,487 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $145,150 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $149,733 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $152,358 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $120,912 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015511825$81,691
2016646957$72,252
2017544936$70,731
20185421,005$82,401
20193843,054$137,186
20205292,211$155,487
20214762,377$145,150
20225292,651$149,733
20235862,390$152,358
20245981,731$120,912

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$743K$1.5M2015 Drug cost: $98,012 (USD; Tot_Drug_Cst)2016 Drug cost: $128,929 (USD; Tot_Drug_Cst)2017 Drug cost: $118,484 (USD; Tot_Drug_Cst)2018 Drug cost: $154,110 (USD; Tot_Drug_Cst)2019 Drug cost: $241,027 (USD; Tot_Drug_Cst)2020 Drug cost: $435,059 (USD; Tot_Drug_Cst)2021 Drug cost: $732,158 (USD; Tot_Drug_Cst)2022 Drug cost: $1,108,068 (USD; Tot_Drug_Cst)2023 Drug cost: $1,251,921 (USD; Tot_Drug_Cst)2024 Drug cost: $1,485,046 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152651,559$98,012
20162561,423$128,929
20172841,457$118,484
20182941,545$154,110
20193771,798$241,027
20204532,629$435,059
20216143,810$732,158
20227835,101$1,108,068
20237735,044$1,251,921
20248965,805$1,485,046

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more219279$82
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report132154$9
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes5866$9
36415Insertion of needle into vein for collection of blood sample5285$9
80048Blood test, basic group of blood chemicals (calcium, total)6183$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban78948,001$898,018
XareltoRivaroxaban1319,810$173,740
Repatha SureclickEvolocumab1154,844$93,456
EntrestoSacubitril/Valsartan644,140$80,244
BrilintaTicagrelor855,101$73,271

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.36$1,149Novartis Pharmaceuticals Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Brian Neil Guttormsen, MD?

Tedicare shows public-source Medicare data for Brian Neil Guttormsen, MD (NPI 1629045232), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Brian Neil Guttormsen, MD have ACO affiliation data?

Brian Neil Guttormsen, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988) and Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329).

What billing organization is linked to Brian Neil Guttormsen, MD?

Brian Neil Guttormsen, MD is linked to ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (billing NPI 1831890177) in the available physician profile data.

Does Brian Neil Guttormsen, MD have Open Payments data?

Brian Neil Guttormsen, MD has 36 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.