Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Karen Gieseke (NPI 1255466314)

Field	Value
Entity Type	Individual
Organization	Karen Gieseke
Address	9 Court St
City	Bristol
State	RI
ZIP	02809
Taxonomy	Psychologist
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicare	$5.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	100	$30	$2.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$130	$1.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10	$90	$1K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	20	$30	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Karen Gieseke — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	57	60	180	$90	$16.2K
96139	4	10	130	$30	$4.3K
90791	73	80	20	$110	$3.6K
96138	3	10	20	$30	$750

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Living In Fulfilling Environments, Inc.	RI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$64.3M
Simon Fensterszaub	RI	Family Medicine Physician	$14.8M	$230.6K
Bristol Assisted Living, LP	RI	Assisted Living Facility	$0	$6M
Paul Castaldi	RI	Clinical Social Worker	$0	$5.2M
Infinite Medical PC	RI	Family Medicine Physician	$0	$4.1M
Alla Shabtai	RI	Physician Assistant	$2.3M	$3.3K
Yosef Seewald	RI	Physician Assistant	$2.1M	$3.5K
Bristol Warren Regional School District	RI	Local Education Agency (LEA)	$0	$724.6K
Medical Associates Of Ri Inc	RI	Internal Medicine Physician	$0	$505K
Town Of Bristol	RI	Land Ambulance	$242.6K	$206.4K

Karen Gieseke — Billing Profile & Reimbursement Data

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Karen Gieseke — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References