KARL A GUTER

Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology GREAT FALLS, MT NPI 1437150331

General Payments — all program years on this page

$9,145.49

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 534
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,481.41 across 115 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $2,381.46114
Education $99.951

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $1,602.37139
2019 $1,655.63124
2020 $312.3123
2021 $525.9633
2022 $495.0312
2023 $2,072.7888
2024 $2,481.41115

Records — PY2024 (115)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078069096 Janssen Pharmaceuticals, Inc $18.06 02/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814550 Janssen Biotech, Inc. $164.10 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814558 Janssen Biotech, Inc. $19.55 08/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814593 Janssen Biotech, Inc. $1.18 03/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814606 Janssen Biotech, Inc. $1.13 11/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814610 Janssen Biotech, Inc. $16.73 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814690 Janssen Biotech, Inc. $14.79 10/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814703 Janssen Biotech, Inc. $19.20 03/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814718 Janssen Biotech, Inc. $15.46 09/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814735 Janssen Biotech, Inc. $6.43 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814762 Janssen Biotech, Inc. $17.70 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814782 Janssen Biotech, Inc. $11.72 03/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078814786 Janssen Biotech, Inc. $14.66 11/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895735 Novartis Pharmaceuticals Corporation $15.23 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895739 Novartis Pharmaceuticals Corporation $17.40 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895753 Novartis Pharmaceuticals Corporation $16.97 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895755 Novartis Pharmaceuticals Corporation $18.16 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895759 Novartis Pharmaceuticals Corporation $21.04 11/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086895761 Novartis Pharmaceuticals Corporation $14.59 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089429522 Daiichi Sankyo Inc. $15.73 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089429524 Daiichi Sankyo Inc. $16.77 07/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1093917403 Alexion Pharmaceuticals, Inc. $17.34 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1093976955 Alexion Pharmaceuticals, Inc. $20.16 09/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436369 E.R. Squibb & Sons, L.L.C. $19.59 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436371 E.R. Squibb & Sons, L.L.C. $21.18 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436373 E.R. Squibb & Sons, L.L.C. $1.65 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436395 E.R. Squibb & Sons, L.L.C. $11.55 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436411 E.R. Squibb & Sons, L.L.C. $16.66 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436413 E.R. Squibb & Sons, L.L.C. $1.17 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436415 E.R. Squibb & Sons, L.L.C. $20.81 07/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436429 E.R. Squibb & Sons, L.L.C. $15.27 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436439 E.R. Squibb & Sons, L.L.C. $12.03 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436445 E.R. Squibb & Sons, L.L.C. $31.94 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436453 E.R. Squibb & Sons, L.L.C. $13.93 11/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101436465 E.R. Squibb & Sons, L.L.C. $23.76 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103855525 ABBVIE INC. $15.08 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103855527 ABBVIE INC. $13.84 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103855529 ABBVIE INC. $16.32 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104328448 AstraZeneca Pharmaceuticals LP $35.89 04/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104679919 AstraZeneca Pharmaceuticals LP $17.19 08/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104782566 AstraZeneca Pharmaceuticals LP $31.77 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105506196 AstraZeneca Pharmaceuticals LP $32.99 11/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105520067 AstraZeneca Pharmaceuticals LP $17.67 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105629904 AstraZeneca Pharmaceuticals LP $16.36 02/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105721474 AstraZeneca Pharmaceuticals LP $15.12 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1110757402 Eisai Inc. $22.04 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114062253 Regeneron Healthcare Solutions, Inc. $20.58 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114062255 Regeneron Healthcare Solutions, Inc. $16.20 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116197597 GlaxoSmithKline, LLC. $13.44 04/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116610848 GlaxoSmithKline, LLC. $16.57 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117169209 Mirati Therapeutics, Inc. $13.53 05/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119316308 Medtronic, Inc. $33.98 10/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120234738 EMD Serono, Inc. $130.00 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120848846 BeiGene USA, Inc. $7.35 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120848848 BeiGene USA, Inc. $24.85 02/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120848850 BeiGene USA, Inc. $36.54 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120848852 BeiGene USA, Inc. $16.64 07/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120861345 BeiGene USA, Inc. $23.87 05/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120861347 BeiGene USA, Inc. $23.74 10/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1125064282 Abbott Laboratories $20.37 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1125856460 Alnylam Pharmaceuticals Inc. $14.99 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1126828458 Genmab U.S., Inc. $15.98 01/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131112505 PFIZER INC. $17.82 01/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131187087 PFIZER INC. $17.85 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131308215 PFIZER INC. $17.43 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131325199 PFIZER INC. $1.15 06/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131330930 PFIZER INC. $15.15 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131332970 PFIZER INC. $17.09 06/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131332974 PFIZER INC. $9.83 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131358802 PFIZER INC. $18.20 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131367595 PFIZER INC. $11.95 01/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131389290 PFIZER INC. $17.19 11/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131420112 PFIZER INC. $13.93 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1132024619 PFIZER INC. $17.48 10/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133044759 Genentech USA, Inc. $13.83 05/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133044763 Genentech USA, Inc. $15.96 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133800380 Gilead Sciences, Inc. $19.16 01/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133800382 Gilead Sciences, Inc. $22.42 03/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133800384 Gilead Sciences, Inc. $19.62 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135095944 Lilly USA, LLC $17.80 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135108341 Lilly USA, LLC $26.22 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137303344 PharmaEssentia USA Corporation $19.04 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1138560372 Exelixis Inc. $19.61 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139365453 Astellas Pharma US Inc $15.28 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139429026 Astellas Pharma US Inc $21.80 11/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139446860 Astellas Pharma US Inc $99.95 12/09/2024 Education Undisputed 01/23/2026 View at CMS
1141195957 Incyte Corporation $17.19 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608129 Merck Sharp & Dohme LLC $22.43 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608131 Merck Sharp & Dohme LLC $21.90 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608133 Merck Sharp & Dohme LLC $14.71 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608135 Merck Sharp & Dohme LLC $21.09 01/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608137 Merck Sharp & Dohme LLC $16.21 06/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141608139 Merck Sharp & Dohme LLC $22.42 04/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141839879 Merck Sharp & Dohme LLC $17.06 10/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141839881 Merck Sharp & Dohme LLC $23.16 09/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141839980 Merck Sharp & Dohme LLC $14.65 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141918304 Merck Sharp & Dohme LLC $19.73 03/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144958508 Takeda Pharmaceuticals U.S.A., Inc. $17.17 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144958510 Takeda Pharmaceuticals U.S.A., Inc. $18.95 11/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1145532059 Karyopharm Therapeutics Inc. $13.66 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147105143 Acrotech Biopharma Inc. $24.16 03/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147105145 Acrotech Biopharma Inc. $13.14 05/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147105147 Acrotech Biopharma Inc. $13.35 10/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147261074 SERVIER PHARMACEUTICALS LLC $18.47 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147444791 Blueprint Medicines Corporation $21.15 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147444799 Blueprint Medicines Corporation $16.27 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147444801 Blueprint Medicines Corporation $125.00 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147444911 Blueprint Medicines Corporation $13.12 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147444933 Blueprint Medicines Corporation $18.04 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148859983 Sumitomo Pharma America, Inc. $21.69 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148859985 Sumitomo Pharma America, Inc. $23.61 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149643846 Agios Pharmaceuticals, Inc. $17.42 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150214856 JAZZ PHARMACEUTICALS INC. $18.17 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150214858 JAZZ PHARMACEUTICALS INC. $25.46 07/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150262560 Adaptive Biotechnologies Corporation $19.73 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.