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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Dawna Giem (NPI 1801933015)

Field	Value
Entity Type	Individual
Organization	Dawna Giem
Address	31 Mdg Unit 6180
City	Apo
State	AE (Armed Forces Europe)
ZIP	09604
Taxonomy	Military Health Care Provider
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$14.7K
Medicaid	$0

Key Findings

Clinical/service-line profile: Billing is concentrated in outpatient rehabilitation and therapeutic services consistent with the provider taxonomy of Military Health Care Provider. The top revenue codes are therapy-oriented—97112 (206 claims, $21 avg paid/claim, $4.3K revenue, 29.3% of Medicare revenue), 97110 (161 claims, $17 avg paid/claim, $2.7K revenue, 18.6%), and 97535 (111 claims, $22 avg paid/claim, $2.4K revenue, 16.6%)—indicating hands-on therapeutic exercise, neuromuscular reeducation, and patient instruction are the core service lines. These codes point to a practice model built around repeated, time-based therapy encounters rather than high-fee episodic procedures.

Revenue concentration: The provider’s Medicare billing is tightly concentrated in a small set of therapy codes—the precomputed top-three share indicates the top 3 Medicare codes by revenue account for 64.4% of this provider's total Medicare revenue. At the claim level, 97112 alone contributes $4.3K (29.3% of Medicare revenue) and the combined dollar amounts of 97112, 97110, and 97535 represent the majority of the $14.7K total Medicare revenue reported.

Payer mix and scale: This entity has $14.7K in lifetime Medicare revenue and no Medicaid billing on file, so the available claims dataset is effectively single-payer (Medicare) for analysis. The absence of Medicaid activity (none; no Medicaid billing on file) and the modest Medicare total suggest a small overall billing footprint in these public programs.

Competitive standing vs. national peers: For its top therapy codes the provider is a modest participant rather than a dominant national player. 97112 ranks at the 38th percentile nationally, 97110 at the 18th percentile, and 97535 at the 63th percentile—each entry is labeled in the source as "typical, unremarkable volume for this code," which together indicate routine, not outsized, market presence for these services.

Service mix nuance — evaluations and reimbursement mix: The provider bills evaluation-level code 97162 (22 claims, $70 avg paid/claim, $1.5K revenue, 10.4% of Medicare revenue), which carries a higher average payment per claim than the routine therapy codes. This suggests periodic higher-complexity assessments are part of the workflow, but their dollar contribution is modest relative to repeat therapy sessions.

Low-volume specialty services present: Biofeedback-related codes 90912 (19 claims, $61 avg paid/claim, $1.2K revenue, 7.9%) and 90913 (34 claims, $23 avg paid/claim, $782 revenue, 5.3%) are present at low volumes and low national rank percentiles (6th and 28th, respectively). These entries indicate biofeedback training is offered but remains a secondary, low-volume component of the billed portfolio.

Operational implication — visit-driven economics: The dominant codes (97112, 97110, 97535, 97530) are time- or session-based procedures, so revenue growth within Medicare would primarily require higher visit volumes or broader payer coverage. Given the modest claim counts reported (e.g., 206 claims for 97112, 161 for 97110, 111 for 97535) and relatively low average paid amounts per claim, margin and scale rely on throughput rather than high per-encounter reimbursement.

Tenure vs. billing footprint: The provider’s NPI was enumerated on 2007-01-30 (~19 years ago), indicating long standing in the registry, yet lifetime Medicare receipts total $14.7K. This mismatch suggests either limited Medicare billing activity over time, a primary clinical focus within non-Medicare military health channels, or a small patient volume in the Medicare population.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	210	$20	$4.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	160	$20	$2.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	110	$20	$2.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	60	$30	$1.8K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	20	$70	$1.5K
90912	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	20	$60	$1.2K
90913	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	30	$20	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Dawna Giem — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	6	10	150	$30	$6.5K
97110	4	10	250	$20	$4.9K
97535	2	10	110	$20	$3.8K
97112	2	10	140	$20	$3.3K
97162	2	10	20	$70	$1.6K
90912	1	10	20	$60	$1.2K
90913	1	10	30	$20	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis Adams	AE (Armed Forces Europe)	Clinical Psychologist	$2.9K	$0
Richard Alexander	AE (Armed Forces Europe)	Anesthesiology Physician	$2.6K	$0

Dawna Giem — Billing Profile & Reimbursement Data

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Dawna Giem — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References