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

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

Hilary Nelson (NPI 1013674225)

Field	Value
Entity Type	Individual
Organization	Hilary Nelson
Address	822 Stoneridge Dr # A2
City	Bozeman
State	MT
ZIP	59718
Taxonomy	Physician Assistant
NPI Enumerated	November 22, 2021

Payer Source	Total Paid
Medicare	$470
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	130	$1	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Hilary Nelson — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96127	9	40	70	$1	$310

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montana Psychiatry, PLLC	MT	Psychiatry Physician	$0	$1M
Staci West	MT	Mental Health Counselor	$0	$847.8K
Turnwell Mental Health Of Montana, PC	MT	Psychiatry Physician	$0	$438.4K
William Upshaw	FL	Psychiatry Physician	$310.3K	$0
Phillip Steele	MT	Sports Medicine (Family Medicine) Physician	$69.3K	$0
Deborah Malters	MT	Psychiatry Physician	$29.7K	$0
Erin Amato	MT	Psychiatry Physician	$23.3K	$0
Brian Abbott	MT	Sports Medicine (Family Medicine) Physician	$20.7K	$0
Desmond Fialkosky	MT	Physician Assistant	$16.5K	$0
Carly Kyte	MT	Physician Assistant	$15.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wojj Pediatric Dentistry	MT	Dental Clinic/Center	$0	$3.3M
Smiles Across Montana	MT	Dental Hygienist	$0	$1.9M
West Bozeman Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$1.9M	$55K
Psychiatry Associates PC	MT	Psychiatry Physician	$0	$1.4M
Marc Comaratta	MT	Retina Specialist (Ophthalmology) Physician	$1.2M	$124.7K
Foundation Therapy Services Inc	MT	Speech-Language Pathologist	$0	$1.1M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1M
Kenneth Olson	MT	Addiction Psychiatry Physician	$29.3K	$809.9K
Aaron Bruce	MT	Dermatology Physician	$682.7K	$0
Russell Swan	MT	Ophthalmology Physician	$560K	$0

Hilary Nelson — Billing Profile & Reimbursement Data

Sign up for Hilary Nelson — Billing Profile & Reimbursement Data policy alerts

Hilary Nelson — Billing Profile & Reimbursement Data

Sign up for Hilary Nelson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References