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

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

Karen Nelson (NPI 1285848119)

Field	Value
Entity Type	Individual
Organization	Karen Nelson
Address	825 2nd Ave Ste B1
City	Bowling Green
State	KY
ZIP	42101
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicare	$44.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	50	$610	$31.5K
33518	The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…	30	$140	$4.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$100	$2.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$40	$2.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.3K
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…	10	$110	$1.3K
33517	The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…	10	$70	$730
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	10	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Karen Nelson — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33533	2	50	20	$930	$24.3K
99232	2,602	2,860	100	$60	$11.6K
99204	3,077	3,200	30	$100	$4.8K
99222	1,102	2,070	30	$90	$4.5K
33518	2	20	20	$240	$3.8K
99231	276	910	40	$40	$3.1K
33517	2	10	10	$120	$1.6K
33508	43	40	20	$10	$230

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowling Green-warren County Community Hospital Corporation	KY	General Acute Care Hospital	$0	$112.1M
Premier Health Specialists Inc	OH	Internal Medicine Physician	$0	$31.1M
Thedacare, Incorporated	WI	Family Medicine Physician	$0	$14.8M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$14.4M
Logan Memorial Hospital LLC	KY	Rural Acute Care Hospital	$0	$14.3M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.5M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.2M
Thedacare Regional Medical Center - Appleton, Inc.	WI	General Acute Care Hospital	$0	$11.5M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$8.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Graves Gilbert Clinic PLLC	KY	Specialist	$0	$78M
District 4 Cdo Program	KY	Supports Brokerage Agency	$0	$54.7M
Encore Of Bowlng Green Adhc LLC	KY	Adult Day Care Clinic/Center	$0	$23.9M
Journeypure Bowling Green LLC	KY	Substance Abuse Rehabilitation Facility	$0	$16.1M
Ky Steps LLC	KY	Community/Behavioral Health Agency	$0	$13.7M
Tj & L Consulting, LLC	KY	Community/Behavioral Health Agency	$0	$11.3M
Julie Gaskill	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$8.9M
Medical Center Ems, L.L.C.	KY	Ambulance	$1.8M	$6.5M
United Seating And Mobility LLC	KY	Customized Equipment (DME)	$0	$7.3M
Commonwealth Health Corporation	KY	Adult Day Care Clinic/Center	$0	$6.8M

Karen Nelson — Billing Profile & Reimbursement Data

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Karen 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

Related Providers

Nearby Providers

Frequently Asked Questions

References