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

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

Scott Nelson (NPI 1356444673)

Field	Value
Entity Type	Individual
Organization	Scott Nelson
Address	400 E Pioneer Ste 208
City	Puyallup
State	WA
ZIP	98372
Taxonomy	Anesthesiology Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicare	$7.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	50	$90	$4.7K
00160	The provider performs anesthesia services for a patient undergoing procedures on the nose and accessory sinuses, hollow chambers in the skull that open into the nasal cavity. Use this code when there…	20	$160	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Scott Nelson — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	118	350	30	$80	$8.6K
00160	1	10	20	$160	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicki Hamilton	WA	Certified Registered Nurse Anesthetist	$111.1K	$0
Jason Aitken	WA	Certified Registered Nurse Anesthetist	$44.6K	$0
Emanuel Nistrian	WA	Certified Registered Nurse Anesthetist	$32.7K	$0
Caroline Njau	KS	Certified Registered Nurse Anesthetist	$31.6K	$0
Stanley Yuan	WA	Anesthesiology Physician	$27.9K	$0
Martin Abbott	WA	Anesthesiology Physician	$27.3K	$0
Andrea Ference	WA	Anesthesiology Physician	$23K	$0
Katherine Eggers	WA	Certified Registered Nurse Anesthetist	$22K	$0
Brandon Hilburn	OH	Anesthesiology Physician	$20.1K	$0
Russell Holtz	WA	Anesthesiology Physician	$17.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Mt. Rainier Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$5M
Agata A Pikula Dds PLLC	WA	Dental Clinic/Center	$0	$4.8M
United Wound Healing Ps	WA	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$0	$2.8M
Mazen Dahan	WA	Pediatrics Physician	$0	$2.6M
Neospine Puyallup Spine Center, LLC	WA	Ambulatory Surgical Clinic/Center	$609.8K	$0
Nathan Bittner	WA	Radiation Oncology Physician	$568.9K	$0
Cris Perez	WA	Family Medicine Physician	$226.6K	$0
Mohammed Baccora	WA	Nephrology Physician	$195.3K	$0

Scott Nelson — Billing Profile & Reimbursement Data

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Scott 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