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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Ayelet Nelson (NPI 1235362120)

Field	Value
Entity Type	Individual
Organization	Ayelet Nelson
Address	6 Brighton Rd
City	Clifton
State	NJ
ZIP	07012
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	August 26, 2009

Payer Source	Total Paid
Medicare	$536.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3380	Injection, vedolizumab, intravenous, 1 mg	12,600	$20	$214.2K
J9271	Injection, pembrolizumab, 1 mg	3,600	$40	$154.8K
J0897	Injection, denosumab, 1 mg	2,580	$20	$49K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	980	$30	$26.5K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	300	$80	$22.8K
J1439	Injection, ferric carboxymaltose, 1 mg	15,000	$1	$15K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	120	$100	$11.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	250	$40	$11K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$130	$10.1K
J0185	Injection, aprepitant, 1 mg	2,860	$1	$2.9K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Ayelet Nelson — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	46	50	10,650	$40	$580.7K
J3380	5	10	11,100	$20	$213.7K
J1745	28	30	3,670	$30	$131.9K
J0897	210	380	3,060	$20	$87.8K
80053	304	560	90	$10	$50.8K
J2506	11	20	400	$80	$44.4K
J1439	66	70	34,880	$1	$36.5K
J3490	101	120	70	$230	$30.2K
96413	151	230	190	$110	$26.6K
82728	148	200	40	$10	$26K

Showing 1–10 of 34

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NJ	Clinical Medical Laboratory	$111.2M	$637.7M
Serv Centers Of New Jersey, Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Ameripath New York, LLC	NJ	Clinical Medical Laboratory	$684.8K	$1.6M
Daniel Lowe	NJ	Urology Physician	$366.7K	$0
Luisa Lerma	NJ	Anatomic Pathology & Clinical Pathology Physician	$365.3K	$0
Atul Prakash	NJ	Clinical Cardiac Electrophysiology Physician	$340.6K	$0
Sanjiv Parikh	NJ	Specialist	$329.6K	$0
Linda Singletary	NJ	Diagnostic Radiology Physician	$315.6K	$0
Brian Schactman	NJ	Internal Medicine Physician	$267.1K	$0
Ephraim Yablok	NJ	Physical Therapist	$237.7K	$0

Ayelet Nelson — Billing Profile & Reimbursement Data

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Ayelet 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