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

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

Natalie Nelson (NPI 1164763330)

Field	Value
Entity Type	Individual
Organization	Natalie Nelson
Address	1614 S Byrne Rd
City	Toledo
State	OH
ZIP	43614
Taxonomy	Medical Physician Assistant
NPI Enumerated	March 12, 2013

Payer Source	Total Paid
Medicare	$17.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$90	$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…	110	$50	$6.1K
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…	30	$70	$2.3K
95992	The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…	40	$20	$950
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	30	$30	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Natalie Nelson — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,884	20,010	100	$70	$11.7K
99213	6,872	20,000	70	$50	$6.6K
99204	1,105	8,330	30	$100	$4.4K
69210	251	450	40	$30	$2.3K
95992	10	30	40	$30	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pramod Sharma	UT	Otolaryngology Physician	$70.1K	$0
Eric Slattery	UT	Otology & Neurotology Physician	$39.7K	$560
Kian Eftekhari	UT	Ophthalmology Physician	$23.5K	$0
Bryan Tagge	UT	Otolaryngology Physician	$20.7K	$0
Ann Summers	UT	Physical Therapist	$17K	$0
Elizabeth Hankins	UT	Audiologist	$10.9K	$0
Anthony Sanchez	UT	Otolaryngology Physician	$7.7K	$0
Nancy Sengmanichanh	UT	Medical Physician Assistant	$4.3K	$0
Meghan Bergmans	UT	Audiologist	$3.5K	$0
Deanna Stone	UT	Speech-Language Pathologist	$3.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Of Ohio At Toledo	OH	General Acute Care Hospital	$0	$50.7M
University Of Toledo Physicians LLC	OH	Internal Medicine Physician	$0	$17.8M
Timothy Kasunic	OH	Hematology & Oncology Physician	$2M	$0
Shaili Desai	OH	Hematology & Oncology Physician	$1.2M	$0
Mohammad Rashid	OH	Hematology & Oncology Physician	$565.7K	$0
Satheesh Ramineni	OH	Adult Reconstructive Orthopaedic Surgery Physician	$314.9K	$0
Ellis Sampram	OH	General Practice Physician	$269.9K	$0
Raja Hanif	OH	Family Medicine Physician	$220.6K	$0
Charu Trivedi	OH	Hematology & Oncology Physician	$218.1K	$0
Mohammad Abdulrasool	OH	Family Medicine Physician	$179.7K	$0

Natalie Nelson — Billing Profile & Reimbursement Data

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Natalie Nelson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References