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

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Robert Giering (NPI 1841214889)

Field	Value
Entity Type	Individual
Organization	Robert Giering
Address	3505 Richville Rd
City	Manchester Center
State	VT
ZIP	05255
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicare	$397K
Medicaid	$0

Key Findings

Practice profile and service mix: The provider is a Physical Medicine & Rehabilitation physician whose Medicare activity is dominated by image-guided spinal interventions and office-based evaluation and management visits, with the top procedures including 62323 (lumbar/sacral epidural injections), 64493 (lumbar/sacral facet injections), and neurolytic facet procedures (64633/64636). High counts for procedure, drug, and contrast codes — for example 62323 with 564 claims and 64493 with 171 claims, plus large volumes of supply/drug codes such as J3301 (6.9K claims) and Q9965 (3.8K claims) — signal a procedure-focused outpatient pain management workflow rather than a pure office-only practice.

Revenue concentration: This provider’s top three Medicare codes (62323, 99213, 99214) account for 62.8% of total Medicare revenue, with 62323 contributing $107.7K (27.1%), 99213 contributing $83.6K (21.0%), and 99214 contributing $58.5K (14.7%) toward a lifetime Medicare revenue total of $397K. Those three codes together drive the majority of dollars billed to Medicare, indicating concentrated revenue risk if utilization patterns or payer coverage change for these specific services.

Payer mix and scale: The provider is effectively single-payer in the public program mix: total Medicare revenue is $397K and there is no Medicaid billing on file. The absence of Medicaid activity means the practice’s public-reimbursement exposure and competitiveness should be evaluated primarily within the Medicare market.

Competitive standing on key services: For 62323 the provider ranks #49 of 7397 providers nationally (99th percentile; extreme outlier), and for 99213 the provider ranks #2938 of 457151 providers nationally (99th percentile; extreme outlier), indicating unusually high national volume for those services relative to peers. By contrast, neurolytic lumbar facet procedure 64635 is at a more typical level (rank #3101 of 5957, 47th percentile), so the practice’s exceptional footprint appears concentrated in a narrow set of injection and office-visit services rather than across all interventional spine codes.

High-volume supply/drug billing: The practice shows very large claim counts for low-unit supply/drug codes — J3301 has 6.9K claims ($1 avg paid/claim, $6.9K revenue, 1.7% of Medicare revenue) and Q9965 has 3.8K claims ($1 avg paid/claim, $3.8K revenue, 1.0% of Medicare revenue). These high claim counts for small per-claim payments suggest frequent use of injectable corticosteroid products and contrast material tied to procedural throughput and imaging-dependent injections.

Clinical operations and ancillary services: The mix includes monitored sedation (99152: 53 claims, $38 avg paid/claim, $2K revenue) and electrodiagnostic testing (95886: 59 claims, $73 avg paid/claim, $4.3K revenue plus small numbers of 95911/95909/95908), indicating the office provides both procedure support services and diagnostic neuromuscular evaluations on-site. This combination supports an integrated interventional pain workflow where diagnostics, sedation, injections, and follow-up E&M visits are bundled into the same practice setting.

Tenure and continuity: The provider’s NPI has been enumerated since 2006-07-26 (~20 years ago), which suggests long-standing Medicare participation and the potential for an established referral base and stable operational processes supporting the current procedure-heavy caseload. Longevity paired with concentrated service lines can imply consistent local market positioning in interventional spine/pain care.

Statistical outliers and utilization signals to note: Several codes are flagged as “extreme outlier” or “notably above typical” by national comparisons — specifically 62323 and 99213 are extreme outliers while 99214 is notably above typical — which should prompt peer-comparison or utilization-review attention when assessing competitiveness or network contracting. Other commonly billed interventional codes show typical or unremarkable volume (for example 64493 at the 91th percentile and 64635 at the 47th percentile), indicating the unusually high activity is concentrated in a limited subset of services rather than across the entire procedural spectrum.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	560	$190	$107.7K
99213	The 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…	1,350	$60	$83.6K
99214	The 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…	640	$90	$58.5K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	170	$170	$28.2K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	100	$190	$18.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	40	$450	$15.9K
99204	The provider sees a new 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 provider…	140	$110	$15.7K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	120	$90	$10.6K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	6,920	$1	$6.9K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	20	$420	$6.8K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Robert Giering — 9 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
62323	1	10	100	$120	$15.4K
99214	20	960	90	$70	$10.6K
64635	4	10	30	$240	$7.9K
64483	10	10	50	$120	$7.3K
99213	2	910	80	$50	$6.7K
64493	1	10	40	$110	$6.5K
62321	1	10	30	$140	$5.5K
64633	2	10	20	$270	$4.4K
99204	14	330	30	$100	$4.1K
27096	3	10	30	$90	$3.7K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Southwestern Vermont Medical Center, Inc	VT	General Practice Physician	$0	$665.4K
Augustin Delago	NY	Cardiovascular Disease Physician	$501.1K	$0
Brion Winston	NY	Cardiovascular Disease Physician	$419.1K	$8.7K
Lixia Ellis	VT	Dermatology Physician	$283.1K	$0
Scott Rogge	VT	Cardiovascular Disease Physician	$239.5K	$0
Joseph Choma	NY	Gastroenterology Physician	$200.9K	$0
Taconic Orthopaedics PC	VT	Orthopaedic Surgery Physician	$0	$177.2K
Thomas Sterling	VT	Emergency Medicine Physician	$118.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donna Miller	VT	Pediatrics Physician	$0	$866.8K
Manchester Rescue Squad Inc	VT	Ambulance	$314.7K	$333.7K
Manchester Medical Center PLLC	VT	Emergency Medicine Physician	$0	$433.2K
Steven Mann	VT	Clinical Psychologist	$98.8K	$173.6K
Richard Malik	VT	Naturopath	$0	$192.9K
Glen Mackenzie	VT	Gynecology Physician	$12K	$171.5K
Nicholas Voci	VT	Physical Therapist	$108.7K	$0
Keith Michl	VT	Internal Medicine Physician	$92.3K	$0
Patricia Patane	VT	Physical Therapist	$85.9K	$0
Margaret Herrington	VT	Mental Health Counselor	$0	$83.1K

Robert Giering — Billing Profile & Reimbursement Data

Sign up for Robert Giering — Billing Profile & Reimbursement Data policy alerts

Robert Giering — Billing Profile & Reimbursement Data

Sign up for Robert Giering — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References