Dr. Clay Guynn, D.O

Physical Medicine & Rehabilitation Lexington, KY Male
NPI: 1699180398
Total Payments
$117,679
2024 Payments
$89,178
Companies
26
Transactions
482
Medicare Patients
2,213
Medicare Billing
$246,625

Payment Breakdown by Category

Consulting$87,669 (74.5%)
Travel$20,027 (17.0%)
Food & Beverage$8,154 (6.9%)
Other$1,830 (1.6%)

Payments by Nature

Nature of Payment Amount Transactions Share
Consulting Fee $87,669 65 74.5%
Travel and Lodging $20,027 135 17.0%
Food and Beverage $8,154 280 6.9%
Honoraria $1,830 2 1.6%

Top Paying Companies

Company Total Records Latest Year
Pacira Pharmaceuticals Incorporated $115,708 395 $0 (2024)
Horizon Therapeutics plc $354.13 27 $0 (2022)
ABBVIE INC. $333.55 14 $0 (2024)
LinkBio Corp $271.38 1 $0 (2024)
Flexion Therapeutics, Inc. $142.81 8 $0 (2020)
Bioventus LLC $131.58 5 $0 (2024)
Pacira Therapeutics, Inc. $73.98 4 $0 (2021)
Avanos Medical $71.19 3 $0 (2022)
Averitas Pharma Inc. $67.57 1 $0 (2024)
Abbott Laboratories $62.42 1 $0 (2021)

Payment History by Year

Year Amount Transactions Top Company
2024 $89,178 297 Pacira Pharmaceuticals Incorporated ($88,492)
2023 $26,528 108 Pacira Pharmaceuticals Incorporated ($26,309)
2022 $1,192 30 Pacira Pharmaceuticals Incorporated ($858.50)
2021 $408.69 26 Horizon Therapeutics plc ($177.73)
2020 $196.78 12 Horizon Therapeutics plc ($82.21)
2019 $159.98 8 Flexion Therapeutics, Inc. ($60.82)
2018 $15.75 1 PORTOLA PHARMACEUTICALS, INC. ($15.75)

All Payment Transactions

482 individual payment records from CMS Open Payments — Page 1 of 20

Date Company Product Nature Form Amount Type
12/17/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $180.00 General
Category: Pain Management
12/17/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $180.00 General
Category: Pain Management
12/17/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $72.00 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $3,120.00 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $65.26 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $32.00 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $29.60 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $20.16 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $19.92 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $15.20 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $9.18 General
Category: Pain Management
12/12/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $7.06 General
Category: Pain Management
12/07/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage In-kind items and services $12.69 General
Category: Pain Management
12/06/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging In-kind items and services $436.00 General
Category: Pain Management
12/06/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging In-kind items and services $288.95 General
Category: Pain Management
11/26/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $60.00 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $2,640.00 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $1,920.00 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Consulting Fee Cash or cash equivalent $1,920.00 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $567.96 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $179.38 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $80.00 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Travel and Lodging Cash or cash equivalent $60.57 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $20.55 General
Category: Pain Management
11/21/2024 Pacira Pharmaceuticals Incorporated Iovera (Device) Food and Beverage Cash or cash equivalent $16.40 General
Category: Pain Management
123…20»

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 17 488 909 $337,047 $65,144
2022 25 699 1,508 $344,360 $78,060
2021 23 661 1,730 $304,751 $79,251
2020 13 365 985 $87,002 $24,170
Total Patients
2,213
Total Services
5,132
Medicare Billing
$246,625
Procedure Codes
78

All Medicare Procedures & Services

78 procedure records from CMS Medicare Utilization — Page 1 of 4

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
64640 Destruction of peripheral nerve or branch Office 2023 39 138 $103,583 $14,718 14.2%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 112 206 $56,325 $14,065 25.0%
64624 Destruction of nerve branches of knee using imaging guidance Office 2023 31 35 $41,784 $10,397 24.9%
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level Office 2023 36 64 $34,253 $8,064 23.5%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 45 45 $22,687 $4,942 21.8%
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint Facility 2023 18 19 $24,774 $2,933 11.8%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 19 19 $6,441 $1,592 24.7%
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance Office 2023 13 19 $6,515 $1,569 24.1%
72110 X-ray of lower and sacral spine, minimum of 4 views Office 2023 37 38 $5,959 $1,430 24.0%
95909 Nerve conduction, 5-6 studies Office 2023 11 11 $4,371 $1,165 26.7%
76942 Ultrasonic guidance for needle placement Office 2023 22 23 $4,071 $1,063 26.1%
64636 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint Facility 2023 17 22 $15,370 $1,017 6.6%
95885 Needle measurement of electrical activity in arm or leg muscles, limited study Office 2023 18 19 $3,566 $932.52 26.2%
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg Office 2023 26 98 $3,430 $497.63 14.5%
72050 X-ray of upper spine, 4-5 views Office 2023 12 12 $1,966 $424.40 21.6%
73562 X-ray of knee, 3 views Office 2023 11 11 $1,446 $323.60 22.4%
J1100 Injection, dexamethasone sodium phosphate, 1 mg Office 2023 21 130 $506.00 $12.64 2.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 128 298 $82,059 $19,978 24.3%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 79 79 $40,030 $10,185 25.4%
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level Office 2022 33 64 $34,112 $8,884 26.0%
62323 Injection of substance into lower spine canal using imaging guidance Office 2022 24 37 $29,156 $7,500 25.7%
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance Office 2022 25 36 $20,533 $4,631 22.6%
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level Office 2022 15 22 $15,554 $4,004 25.7%
64640 Destruction of peripheral nerve or branch Office 2022 11 29 $22,098 $3,413 15.4%
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint Facility 2022 22 23 $29,371 $3,354 11.4%
1234»

About Dr. Clay Guynn, D.O

Dr. Clay Guynn, D.O is a Physical Medicine & Rehabilitation healthcare provider based in Lexington, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/23/2014. The National Provider Identifier (NPI) number assigned to this provider is 1699180398.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Clay Guynn, D.O has received a total of $117,679 in payments from pharmaceutical and medical device companies, with $89,178 received in 2024. These payments were reported across 482 transactions from 26 companies. The most common payment nature is "Consulting Fee" ($87,669).

As a Medicare-enrolled provider, Guynn has provided services to 2,213 Medicare beneficiaries, totaling 5,132 services with total Medicare billing of $246,625. Data is available for 4 years (2020–2023), covering 78 distinct procedure/service records.

Practice Information

  • Specialty Physical Medicine & Rehabilitation
  • Location Lexington, KY
  • Active Since 06/23/2014
  • Last Updated 07/07/2015
  • Taxonomy Code 208100000X
  • Entity Type Individual
  • NPI Number 1699180398

Products in Payments

  • Iovera (Device) $113,577
  • Zilretta (Drug) $1,657
  • Exparel (Drug) $473.03
  • BOTOX (Biological) $368.00
  • DUEXIS (Drug) $157.07
  • PENNSAID (Drug) $153.11
  • QUTENZA (Drug) $67.57
  • Proclaim IPG (Device) $62.42
  • GELSYN-3 (Device) $57.78
  • COOLIEF* COOLED RADIOFREQUENCY (Device) $56.79
  • TENJET (Device) $52.30
  • SPRINT PNS System (Device) $49.46
  • Dysport (Drug) $41.00
  • EXOGEN ULTRASOUND BONE HEALING SYSTEM (Device) $28.08
  • DUROLANE (Device) $25.82
  • VIMOVO (Drug) $25.38
  • Kerecis Omega3 SurgiClose (Device) $24.62
  • IRRISEPT (Device) $22.68
  • Tymlos (Biological) $20.74
  • CellerateRx (Device) $20.17

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Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

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