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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Nelson
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    Eric Nelson — Billing Profile & Reimbursement Data

    NPI 1376541805 · Prescott, AZ · Surgery Physician

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    Eric Nelson is a surgery physician provider located in Prescott, Arizona. This profile covers 16 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
    OrganizationEric Nelson
    Address3101 Clearwater Dr
    CityPrescott
    StateAZ
    ZIP86305
    TaxonomySurgery Physician
    NPI EnumeratedJuly 8, 2005

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

    Payer SourceTotal Paid
    Medicare$131.3K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.60$430$26.5K
    99203The provider sees a new 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 provider…330$80$24.8K
    99213The 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…350$60$21.2K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…70$160$11.8K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.270$40$9.7K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$200$9.6K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$370$6.7K
    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…40$120$5.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$180$3.3K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.10$230$3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538516533050$290$28.4K
    992149,96210,410120$80$20.6K
    2984883030$420$19.9K
    26055188040$290$17K
    G010514620030$280$15.5K
    49650448020$490$12.3K
    G012116018020$280$11.1K
    992131,1439,60080$60$9.6K
    992042,5715,79040$110$6.7K
    26160132020$340$5.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yavapai Community Hospital AssociationAZGeneral Acute Care Hospital$0$66.2M
    Robert CandipanAZInterventional Cardiology Physician$905.1K$0
    Tarpan PatelAZInterventional Cardiology Physician$714.5K$17.7K
    Paul NguyenAZUrology Physician$669K$0
    Amad ZineldineAZCardiovascular Disease Physician$587K$0
    Mansour AssarAZInterventional Cardiology Physician$526.1K$0
    Ketan JaniAZPulmonary Disease Physician$486.9K$10.6K
    Nader MakkiAZInterventional Cardiology Physician$463K$0
    Naeem ChavlaWAUrology Physician$389.6K$0
    Pankaj JainAZUrology Physician$363.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Line Ambulance Service IncAZLand Ambulance$2.1M$33.9M
    West Yavapai Guidance Clinic, Inc.AZMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    West Yavapai Guidance ClinicAZSubstance Abuse Rehabilitation Facility$0$6.6M
    Kenneth LawlorAZRheumatology Physician$2.3M$0
    Donn DavisAZRadiation Oncology Physician$1.2M$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0
    Keith MackenzieAZProcedural Dermatology Physician$693.8K$0
    Richard CirelliAZDermatology Physician$559.8K$0
    Robert WolfeAZFamily Nurse Practitioner$552.9K$0
    Kimberly StoverAZNurse Practitioner$518K$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. Arizona Distribution
    Eric Nelson — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona