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    OpenPayerNPI Medicare & MedicaidBrett Nielson
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    Brett Nielson — Billing Profile & Reimbursement Data

    NPI 1215919311 · Pittsburgh, PA · Diagnostic Radiology Physician

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    Brett Nielson is a diagnostic radiology physician provider located in Pittsburgh, Pennsylvania. This profile covers 69 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrett Nielson
    Address320 East North Avenue
    CityPittsburgh
    StatePA
    ZIP15212
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$180.4K
    Medicaid$760

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…600$80$50.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.340$60$20.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.240$40$9.2K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.160$50$7.9K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.240$30$6.8K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…190$40$6.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…190$30$5.4K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…60$80$5.2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…190$30$5.2K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…40$90$3.8K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815522080$350$47.4K
    77067365580330$50$24.2K
    77063356570340$30$15.7K
    78816258030$360$13.1K
    74177651,040110$70$10.7K
    7055322648060$110$9.9K
    70450330960160$30$6.7K
    7214825659050$80$6.6K
    7372113734040$80$5.8K
    741765161,01070$70$5.6K

    Showing 1–10 of 69

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…100$10$700
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…10$10$80

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…834880320$10$19.5K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…529850220$10$17.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amberwell Atchison AssociationKSRural Health Clinic/Center$0$6.4M
    Hiawatha Hospital Association IncKSRural Health Clinic/Center$0$3.3M
    Holy Family Medical IncKSFederally Qualified Health Center (FQHC)$0$3.1M
    Amberwell Atchison AssociationKSCritical Access Hospital$0$1.2M
    Alvin WyattCADiagnostic Radiology Physician$1.1M$0
    Ambulatory Diagnostic Center IncFLMammography Clinic/Center$358.6K$548.3K
    Shannon CarpenterMOOrthopaedic Surgery Physician$373.7K$0
    Lisa ChildressKSSurgical Physician Assistant$247.3K$0
    Paul D'angeloTNDiagnostic Radiology Physician$100.7K$137.9K
    Jack BridgesMODiagnostic Radiology Physician$200.3K$440

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cernostics, Inc.PAClinical Medical Laboratory$44.5M$83.5K
    Christian Home HealthcarePAIn Home Supportive Care Agency$0$13.7M
    West Penn Allegheny Health System Inc.PAGeneral Acute Care Hospital$0$10.8M
    West Penn Allegheny Health System Inc.PAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M
    Thierry VerstraetenPAOphthalmology Physician$894.3K$45K
    Robert LewenPAOphthalmology Physician$383.8K$1.1K
    Athanasios ColoniasPARadiation Oncology Physician$324.7K$0
    Paul KlepchickPADiagnostic Radiology Physician$146.7K$95.6K
    Mikhail ChilingaryanPAInternal Medicine Physician$240.2K$0
    Sameer JainPAOrthopaedic Surgery Physician$198.5K$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. Pennsylvania Distribution
    Brett Nielson — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Brett Nielson — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania