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

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

Nelson & Reynolds, PLLC (NPI 1194242859)

Field	Value
Entity Type	Organization
Organization	Nelson & Reynolds, PLLC
Address	210 Valley Mall Pkwy
City	East Wenatchee
State	WA
ZIP	98802
Taxonomy	Dental Clinic/Center
NPI Enumerated	August 24, 2017

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	78,710	$30	$2M
D2392	Post 2 surface resin‑based composite	23,420	$70	$1.5M
D2930	N/A	8,850	$150	$1.3M
D1120	Prophylaxis–child	56,000	$20	$1.3M
D1351	Sealant - per tooth	51,620	$20	$1.2M
D1208	Topical application of fluoride - excluding varnish	67,210	$20	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	26,730	$40	$1M
D2391	Resin‑based composite – one surface, posterior	16,280	$50	$879.2K
D9630	N/A	16,190	$40	$680.1K
D0272	N/A	55,720	$10	$557.2K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Nelson & Reynolds, PLLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	29	110	970	$370	$634K
D2930	N/A	25	160	1,710	$140	$531.8K
D7240	N/A	21	70	990	$150	$409.8K
D2929	N/A	13	30	620	$240	$350.5K
D8670	N/A	20	90	640	$220	$233K
D2392	Post 2 surface resin‑based composite	7	540	990	$60	$188.6K
D7230	N/A	16	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	6	920	690	$20	$131.3K
D8660	N/A	36	60	140	$150	$120.1K
D2391	Resin‑based composite – one surface, posterior	9	480	670	$50	$119.5K

Showing 1–10 of 45

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Choice Dba Action Health Partners	WA	Case Management Agency	$0	$7.8M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$7.4M
Lifeline Ambulance, Inc.	WA	Ambulance	$1.9M	$4.9M
Aging & Adult Care Of Central Washington	WA	Case Management Agency	$0	$2.9M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Jared Wagner	WA	Pain Medicine (Anesthesiology) Physician	$270.6K	$0

Nelson & Reynolds, PLLC — Billing Profile & Reimbursement Data

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Nelson & Reynolds, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References