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.

Carl Bergeson (NPI 1659093854)

Field	Value
Entity Type	Individual
Organization	Carl Bergeson
Address	11 Friendship St
City	Newport
State	RI
ZIP	02840
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	September 14, 2022

Payer Source	Total Paid
Medicare	$1.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36569	The provider places a catheter through a vein in the upper extremity of a patient 5 years of age or older and passes the catheter into one of the major veins carrying the blood to the heart or…	10	$60	$760
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$30	$650

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

Claims Volume vs. Rhode Island Distribution

Carl Bergeson — 0 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99231	174	210	40	$40	$2.5K
36569	1	10	10	$60	$760

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newport Hospital	RI	General Acute Care Hospital	$0	$15.8M
Newport Hospital	RI	Psychiatric Hospital Unit	$0	$3.1M
Xiaoping Zhou	VA	Anatomic Pathology & Clinical Pathology Physician	$968.4K	$59.3K
Kristin Lombardi	RI	Pediatric Cardiology Physician	$0	$333.6K
Keith-austin Scarfo	RI	Anesthesiology Physician	$56.4K	$273.9K
Laert Rusha	RI	Pain Medicine Physician	$33.7K	$285.7K
Claudia Wheeler	RI	Physical Medicine & Rehabilitation Physician	$244.6K	$0
Leslie Robinson-bostom	RI	Dermatology Physician	$140.3K	$79.8K
Brian Mcmillen	RI	Anatomic Pathology & Clinical Pathology Physician	$177.3K	$25K
Gladys Telang	RI	Dermatology Physician	$76.6K	$103.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James L Maher Center	RI	Multi-Specialty Clinic/Center	$0	$52.5M
East Bay Communtiy Action Program	RI	Case Management Agency	$0	$4.9M
Faith Drennon	RI	Pediatric Dentistry	$0	$2.8M
East Bay Community Action Program	RI	Dental Clinic/Center	$0	$2M
Jasma Patel	RI	Dentist	$0	$1.9M
Newport Public Schools	RI	Local Education Agency (LEA)	$0	$1.6M
Charles Stengel	RI	Emergency Medicine Physician	$59K	$870.4K
City Of Newport	RI	Land Ambulance	$306K	$580.6K
St. Clare Home, Inc.	RI	Skilled Nursing Facility	$0	$464.8K
Deborah Saboya	RI	Clinical Social Worker	$0	$357.9K

Carl Bergeson — Billing Profile & Reimbursement Data

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Carl Bergeson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References