Gise, Robert

Gise, Robert was paid $432K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.

33Billing provider infoGISE, ROBERT
WORCESTER, MA 01605

33aNPI1528024452assigned 04/20/2006

33bProvider typeOphthalmology Physician

28Total paid$432K

24GClaims5,321

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#22 of 203

Median peer was paid$18K

This provider vs. median24×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	736	$53K
2019	626	$50K
2020	615	$50K
2021	821	$67K
2022	1,038	$87K
2023	789	$63K
2024incomplete	696	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	56%	3,029	3,015	$243K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	888	879	$96K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	9.1%	614	583	$39K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	8.1%	438	437	$35K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	121	62	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	46	46	$2K
92250		<1%	89	73	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$2K
92083		<1%	43	37	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	40	24	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.