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    OpenPayerNPI Medicare & MedicaidNathaniel Gelinas
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    Nathaniel Gelinas — Billing Profile & Reimbursement Data

    NPI 1265968614 · Bloomington, MN · Ophthalmology Physician

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    Nathaniel Gelinas is a ophthalmology physician provider located in Bloomington, Minnesota. This profile covers 15 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
    OrganizationNathaniel Gelinas
    Address7920 Old Cedar Ave S
    CityBloomington
    StateMN
    ZIP55425
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 4, 2017

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

    Payer SourceTotal Paid
    Medicare$158.6K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg90$700$61.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…2,160$20$43.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$570$9.2K
    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…100$80$7.6K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…110$70$7.5K
    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…80$70$5.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…90$50$4.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$240$4.3K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.40$90$3.7K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…190$20$3.2K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781540580$690$743.4K
    670282680420$90$64.8K
    6698419300190$50$56K
    6582052030$1,010$31.2K
    668213417050$110$13.8K
    92014149830100$80$11.9K
    920124420060$60$8.8K
    9921499310,10070$80$8.1K
    921345258040$30$4.8K
    99204733,34020$110$3.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allina Health SystemMNAmbulance$9M$118M
    Allina Health SystemMNGeneral Acute Care Hospital$0$48.8M
    Allina Health SystemMNInternal Medicine Physician$0$32.9M
    Allina Health SystemMNGeneral Acute Care Hospital$0$27M
    Allina Health SystemMNGeneral Acute Care Hospital$0$25.7M
    Allina Health SystemMNFamily Medicine Physician$0$22.2M
    Allina Health SystemMNPhysical Medicine & Rehabilitation Physician$0$18.2M
    Allina Health SystemMNObstetrics & Gynecology Physician$0$13.2M
    St Francis Regional Medical CenterMNGeneral Acute Care Hospital$0$13M
    Allina Health SystemMNFamily Medicine Physician$0$10.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All Home Health IncorporatedMNHome Health Agency$0$42M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$14.8M
    Building Family FoundationMNCommunity/Behavioral Health Agency$0$7.4M
    Connections Services, LLCMNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.8M
    Viking Airport Taxi LLCMNNon-emergency Medical Transport (VAN)$0$4.4M
    Allina Health SystemMNFamily Medicine Physician$0$4.4M
    Elizabeth FarhatMNDermatology Physician$84.6K$0
    Heather JensenMNPodiatrist$55.6K$0
    Farhat KokanMNAllergy & Immunology Physician$11.7K$0
    Thomas MisukanisMNClinical Neuropsychologist$10.2K$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. Minnesota Distribution
    Nathaniel Gelinas — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota