Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathaniel Phelan
    Ask Trek AI about this page

    Nathaniel Phelan — Billing Profile & Reimbursement Data

    NPI 1225327422 · Joplin, MO · Dermatology Physician

    Customize your policy alerts

    Sign up for Nathaniel Phelan — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nathaniel Phelan is a dermatology physician provider located in Joplin, Missouri. This profile covers 33 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathaniel Phelan
    Address520 E 32nd St
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 29, 2011

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

    Payer SourceTotal Paid
    Medicare$704.5K
    Medicaid$0

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg4,800$110$532.8K
    99214The 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…310$90$26.5K
    99213The 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…350$60$21.1K
    99204The 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…200$110$20.8K
    99203The provider sees a new 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 provider…200$80$14.8K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…210$70$14.6K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.40$210$8.2K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.210$30$7.2K
    11302The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.70$90$6.1K
    11311The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.70$80$5.3K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32453104,100$110$475.4K
    992141,5818,960100$80$13.9K
    171107534090$70$10.2K
    11102230290130$60$10K
    17000164370170$30$9.9K
    1700412014040$110$8.5K
    120323811030$180$7.3K
    992136828,73070$50$7K
    12052384030$140$5.8K
    99204444,36030$100$4.8K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brett NeillMOMOHS-Micrographic Surgery Physician$317.9K$0
    Kattie AllenARMOHS-Micrographic Surgery Physician$308.9K$0
    Blake WilliamsARDermatology Physician$256.5K$0
    Courtney BookARMOHS-Micrographic Surgery Physician$237K$0
    Eric BelinARDermatology Physician$225.3K$0
    Linsey LindleyARDermatology Physician$115.7K$0
    Brittany AguirreARPhysician Assistant$69.2K$0
    Mimi HillARMedical Physician Assistant$29.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark CenterMOCommunity/Behavioral Health Agency$0$165.3M
    Jasper County Sheltered Facilities AssocMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$62.1M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.5M
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    The Independent Living Center, Inc.MOAttendant Care Provider$0$24.7M
    Jasper County Sheltered Facilities BoardMOCase Management Agency$0$21.3M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Jasper County Sheltered Facilities AssocMODevelopmentally Disabled Services Day Training Agency$0$13.2M

    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. Missouri Distribution
    Nathaniel Phelan — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri