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

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

Debra Nelms (NPI 1245973890)

Field	Value
Entity Type	Individual
Organization	Debra Nelms
Address	29877 Telegraph Rd Ste L-12
City	Southfield
State	MI
ZIP	48034
Taxonomy	Nurse Practitioner
NPI Enumerated	April 20, 2022

Payer Source	Total Paid
Medicare	$63.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	520	$60	$31.2K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	1,260	$10	$10.1K
99214	The 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…	120	$80	$9.3K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	110	$80	$8.8K
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…	40	$90	$3.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Debra Nelms — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,993	15,470	80	$80	$11.4K
99213	480	14,810	60	$60	$6.6K
99204	1,959	6,280	30	$110	$4.2K
93923	23	180	30	$60	$3.1K
97035	6	110	110	$10	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonya Ayoub	MI	Adult Health Nurse Practitioner	$239.6K	$0
Danielle Bijelic	MI	Nurse Practitioner	$100.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Care Unlimited, LLC	MI	Home Health Agency	$0	$216M
Coordinated Community Living	MI	Home Health Agency	$0	$85.8M
Vhs Physicians Of Michigan	MI	Internal Medicine Physician	$0	$73.9M
Angels' Place	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18.1M
North West Labs, Inc.	MI	Clinical Medical Laboratory	$1.4M	$10.9M
Great Lakes Surgical Center LLC	MI	Ambulatory Surgical Clinic/Center	$82.6K	$4M
City Of Southfield	MI	Ambulance	$845.3K	$1.8M
Biogenetics Laboratories, Inc.	MI	Clinical Medical Laboratory	$648.4K	$1.9M
Michael Ober	MI	Ophthalmology Physician	$1.8M	$0
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0

Debra Nelms — Billing Profile & Reimbursement Data

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Debra Nelms — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References