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

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

Kyle Nelson (NPI 1194987289)

Field	Value
Entity Type	Individual
Organization	Kyle Nelson
Address	11850 Blackfoot St Nw
City	Coon Rapids
State	MN
ZIP	55433
Taxonomy	Neurological Surgery Physician
NPI Enumerated	June 30, 2008

Payer Source	Total Paid
Medicare	$47.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61867	In this procedure, the provider removes a portion of the skull or he may create burr holes in the skull. He then uses the stereotactic method, which makes use of a three dimensional coordinate system…	10	$1,450	$18.9K
61886	The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on…	30	$620	$16K
61885	The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to one electrode array. This service is…	20	$400	$8.9K
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…	20	$80	$1.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$30	$830

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Kyle Nelson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61886	2	10	30	$590	$24.8K
61867	1	10	10	$1,450	$18.9K
61885	1	10	20	$410	$7.4K
99204	2,213	3,340	20	$110	$3.6K
99222	1,936	2,220	20	$90	$2.7K
99231	665	1,080	30	$40	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	General Acute Care Hospital	$0	$48.8M
Allina Health System	MN	Family Medicine Physician	$0	$22.2M
Nura PLLC	MN	Pain Medicine Physician	$0	$13.8M
Select Senior Living Of Coon Rapids, LLC	MN	Assisted Living Facility	$0	$13.6M
Empathy Home Care Inc	MN	Home Health Agency	$0	$7M
Family & Cosmetic Gentle Dentistry, Ltd	MN	General Practice Dentistry	$0	$6.4M
Nura PLLC	MN	Home Infusion Agency	$0	$6.2M
Kingdom Pathways	MN	Community/Behavioral Health Agency	$0	$5.2M
Uzma Ali	MN	Hematology & Oncology Physician	$868.9K	$0
Scott Peterson	MN	Ophthalmology Physician	$728.2K	$0

Kyle Nelson — Billing Profile & Reimbursement Data

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Kyle 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

Nearby Providers

Frequently Asked Questions

References