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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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 S. Wiemers (NPI 1417144296)

Field	Value
Entity Type	Organization
Organization	Karen S. Wiemers
Address	108 E Clemmer Ave
City	Chamberlain
State	SD
ZIP	57325
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 26, 2007

Payer Source	Total Paid
Medicaid	$60.7K
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	90	$230	$20K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	600	$30	$16.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	120	$90	$10.3K
96101	N/A	30	$360	$10.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$110	$3.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Karen S. Wiemers — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96101	N/A	2	10	250	$240	$60.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	43	70	60	$100	$51.4K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2	10	40	$130	$45K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2	10	30	$90	$33.4K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	2	10	600	$30	$15.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dakota Milestones	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18.6M
Dakota Milestones	SD	Case Manager/Care Coordinator	$0	$1.7M
Sanford Health Network	SD	Critical Access Hospital	$0	$1.5M
605 Vision, PC	SD	Optometrist	$0	$1.3M
Sanford Health Network	SD	Critical Access Hospital	$0	$1M
Dakota Milestones	SD	Case Manager/Care Coordinator	$0	$284.5K
Dakota Milestones	SD	Case Manager/Care Coordinator	$0	$268.7K
Rural Health Care, Inc.	SD	Federally Qualified Health Center (FQHC)	$0	$233.9K
Missouri Valley Ambulance Service	SD	Land Ambulance	$75.5K	$95.8K
Sanford Health Network	SD	Family Medicine Physician	$0	$142.7K

Karen S. Wiemers — Billing Profile & Reimbursement Data

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Karen S. Wiemers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References