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    OpenPayerNPI Medicare & MedicaidRichard Nielsen
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    Richard Nielsen — Billing Profile & Reimbursement Data

    NPI 1164071205 · Arlington, WA · Audiologist

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    Richard Nielsen is a audiologist provider located in Arlington, Washington. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationRichard Nielsen
    Address4011 172nd St Ne
    CityArlington
    StateWA
    ZIP98223
    TaxonomyAudiologist
    NPI EnumeratedSeptember 11, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$15K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…120$30$3.1K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…20$90$2.2K
    92540The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.30$90$2.2K
    92584In this procedure, the provider stimulates sound waves in the inner ear and measures electrical signals, or evoked potentials, generated by the nervous system. He uses the results to identify inner…20$90$2.1K
    92653In this procedure, the provider measures the patient’s response to sound stimuli to diagnose a neurological disorder. The service includes an interpretation and report.20$60$1.5K
    92517In this procedure, the provider measures the patient’s response to high–level acoustic stimuli (sound) using electrodes placed on the neck (cervical region). The service includes interpretation and…20$60$1.2K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…80$10$1.1K
    92537A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…30$30$800
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.50$10$660
    92547During a vestibular function test with recording, the provider uses additional vertical electrodes placed around the eye to assess nystagmus.20$10$190

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9255784190110$30$3.4K
    9258431020$90$2.4K
    9254661030$70$2.2K
    9251761040$60$2.2K
    9254093020$80$2K
    9265341020$60$1.8K
    9256711717080$10$1.3K
    9253792020$30$930
    9255054040$20$790
    9254751030$10$280

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stillaguamish Tribe Of IndiansWASubstance Use Disorder Rehabilitation Clinic/Center$0$349.6M
    Northwest Emergency Physicians LLCWAEmergency Medicine Physician$0$79.6M
    Public Hospital Dist No 1 SkagitWAGeneral Acute Care Hospital$0$17.2M
    Stillaguamish Tribe Of IndiansWACommunity/Behavioral Health Agency$0$9.2M
    Holman Recovery CenterWASubstance Abuse Rehabilitation Facility$0$7.9M
    Beautiful AutismWAMental Health Counselor$0$2.8M
    Sight Partners Physicians, P.C.WAAmbulatory Surgical Clinic/Center$325.2K$126.8K
    Trans-west Ambulance Service LLCWAAmbulance$114.5K$221.2K
    Michael BanittWAOphthalmology Physician$262.9K$0
    Jennifer PaekWADermatology Physician$144.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Richard Nielsen — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington