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    Gina Digati — Billing Profile & Reimbursement Data

    NPI 1043455694 · Portsmouth, RI · Adult Psychiatric/Mental Health Clinical Nurse Specialist

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    Gina Digati is a adult psychiatric/mental health clinical nurse specialist provider located in Portsmouth, Rhode Island. This profile covers 2 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGina Digati
    Address3047 E Main Rd
    CityPortsmouth
    StateRI
    ZIP02871
    TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
    NPI EnumeratedDecember 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$817.1K
    Medicare$12.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…190$50$8.6K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…110$30$3.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992133671,95070$60$7.4K
    90833236090$50$5.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…9,920$60$595K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…5,510$40$209.2K
    90836In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…220$50$10.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…30$80$2K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,4741,730220$70$75.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…352,050300$50$72.3K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…5200340$40$35.5K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…546070$70$26.5K
    90836In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…1130140$60$15.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gina Digati, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Bay Community Action ProgramRIMental Health Clinic/Center (Including Community Mental Health Center)$0$20.5M
    East Bay Community Action ProgramRICommunity/Behavioral Health Agency$0$2.2M
    East Bay Community Action ProgramRIDental Clinic/Center$0$2M
    Jasma PatelRIDentist$0$1.9M
    East Bay Community Action ProgramRICommunity Health Clinic/Center$0$1.5M
    John CorveseRIOptometrist$29.7K$1.4M
    Joseph SingerRIPediatrics Physician$0$547.7K
    Iliana SaavedraRIGeneral Practice Dentistry$0$537.1K
    Marshall WoldRIChild & Adolescent Psychiatry Physician$0$529.6K
    Sarah FesslerRIFamily Medicine Physician$0$524.3K

    Nearby Providers

    Other providers in the same ZIP code as Gina Digati, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Looking Upwards, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$136.2M
    Looking Upwards, Inc.RIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$15.7M
    Looking Upwards, Inc.RIMulti-Specialty Clinic/Center$0$7.4M
    Girls And Boys Town Of New EnglandRIEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.9M
    Newport County Regional Special EducationRILocal Education Agency (LEA)$0$1.5M
    Tom SwansonRIPediatric Dentistry$0$1.3M
    Lighthouse Counseling AssociatesRIClinical Social Worker$0$343.5K
    Town Of PortsmouthRILand Ambulance$265.6K$75.3K
    East Bay Endoscopy Center LLCRIEndoscopy Clinic/Center$330.2K$0
    Julie DeleoRIInternal Medicine Physician$156.9K$4.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Gina Digati — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Gina Digati — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island