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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRachel Nelson
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    Rachel Nelson — Billing Profile & Reimbursement Data

    NPI 1245523380 · Chattanooga, TN · Diagnostic Radiology Physician

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    Rachel Nelson is a diagnostic radiology physician provider located in Chattanooga, Tennessee. This profile covers 46 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRachel Nelson
    Address2525 Desales Ave
    CityChattanooga
    StateTN
    ZIP37404
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 23, 2011

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

    Payer SourceTotal Paid
    Medicare$383.2K
    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.

    46 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.…120$1,140$135.8K
    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.220$220$49.1K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries120$200$24.1K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.90$260$23.9K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.90$250$21.9K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…50$260$13.4K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.150$90$13.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.130$90$11.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.90$130$11.1K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…230$40$7.9K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788154115070$350$38.5K
    77067339460160$60$18.6K
    A955294060$200$18.6K
    74177100580110$90$12.7K
    77063321420150$30$10K
    72197138040$140$8K
    7417623358070$70$6K
    741831913030$130$5.4K
    9392513330020$100$5.2K
    9388034756040$70$4.7K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holyoke Medical Center, Inc.MAGeneral Acute Care Hospital$0$125.1M
    Reliant Medical Group, IncMAFamily Medicine Physician$0$101.8M
    Cumberland County Hospital System IncNCGeneral Acute Care Hospital$0$75.8M
    Otero County Hospital AssociationNMGeneral Acute Care Hospital$0$73.2M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$62.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Trinity Health Of New England Provider Network Organization IncCTInternal Medicine Physician$0$42M
    Scotland Memorial Hospital IncNCGeneral Acute Care Hospital$0$39.4M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$38.9M
    Riverbend Medical Group, Inc.MAInternal Medicine Physician$0$38.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkridge Medical Center, Inc.TNGeneral Acute Care Hospital$0$26.8M
    County Of HamiltonTNLand Ambulance$3.2M$10.4M
    Orange Grove Center, Inc.TNDevelopmentally Disabled Services Day Training Agency$0$7.8M
    Memorial Health Care System Inc.TNGeneral Acute Care Hospital$0$4.1M
    Mark WomackTNHematology & Oncology Physician$2.4M$0
    Bertrand AnzTNHematology & Oncology Physician$2.4M$0
    Erlanger Behavioral Health, LLCTNPsychiatric Hospital$0$2.2M
    Derek HollandTNHematology & Oncology Physician$2M$0
    Gregory SuttonTNHematology & Oncology Physician$1.6M$0
    Edward ArrowsmithTNHematology & Oncology Physician$1.4M$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. Tennessee Distribution
    Rachel Nelson — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee