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

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

Richard Nelson (NPI 1194968917)

Field	Value
Entity Type	Individual
Organization	Richard Nelson
Address	4301 W Markham St
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 8, 2009

Payer Source	Total Paid
Medicare	$57.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	250	$130	$31.8K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	180	$90	$15.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	80	$50	$3.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$150	$3.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	350	$10	$2.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	40	$30	$1.2K
99281	The provider sees a patient for the lowest level emergency department visit.	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Richard Nelson — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	135	540	130	$130	$21.3K
99291	471	610	50	$160	$13.8K
99284	81	560	90	$80	$8.9K
93010	155	550	120	$10	$2.3K
99283	42	340	30	$50	$1.9K
99282	7	60	20	$30	$780
99281	5	10	20	$10	$150

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chi St Vincent Hospital Hot Springs	AR	General Acute Care Hospital	$0	$16.4M
Arkansas Heart Hospital, LLC	AR	Cardiovascular Disease Physician	$0	$1.9M
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Arkansas Heart Hospital, LLC	AR	General Acute Care Hospital	$0	$1.7M
Harvinder Dod	AR	Cardiovascular Disease Physician	$1.4M	$0
Gregory Loyd	AR	Family Medicine Physician	$931.6K	$0
Sudarone Thihalolipavan	AR	Clinical Cardiac Electrophysiology Physician	$714.5K	$0
Andre Paixao	AR	Cardiovascular Disease Physician	$571K	$0
Vasili Lendel	AR	Interventional Cardiology Physician	$505.9K	$0
Wesley Lane	AR	Cardiovascular Disease Physician	$478.7K	$0

Richard Nelson — Billing Profile & Reimbursement Data

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Richard 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

Frequently Asked Questions

References