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

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

Nelson Kalil (NPI 1427074707)

Field	Value
Entity Type	Individual
Organization	Nelson Kalil
Address	6000 Executive Blvd Ste 620
City	Rockville
State	MD
ZIP	20852
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$787.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1449	Injection, eflapegrastim-xnst, 0.1 mg	10,970	$30	$285.3K
J0897	Injection, denosumab, 1 mg	8,580	$20	$154.5K
J1437	Injection, ferric derisomaltose, 10 mg	5,000	$20	$80K
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…	680	$110	$73.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	340	$120	$41.8K
J1439	Injection, ferric carboxymaltose, 1 mg	40,500	$1	$40.5K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	4,200	$10	$25.2K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	480	$30	$12.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	60	$190	$12.2K
96417	In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…	170	$60	$10.4K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Nelson Kalil — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1449	1	10	3,970	$30	$124.7K
J0897	77	340	3,600	$20	$114.4K
J1437	14	50	2,800	$20	$75.1K
J1439	16	40	30,750	$1	$36.2K
Q5106	10	20	4,040	$10	$30K
96413	65	230	200	$110	$29.6K
99214	1,125	10,270	150	$90	$24.1K
99213	4,078	9,280	100	$60	$12.5K
99215	2,009	4,070	50	$120	$10.9K
96367	18	100	220	$30	$8K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Atlantic Pemanente Medical Group	MD	Health Maintenance Organization	$0	$317.3M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17.5M
Montgomery County Maryland Government	MD	Local Education Agency (LEA)	$0	$12.6M
Reginald S Lourie Center For Infants & Young Children	MD	Clinic/Center	$0	$6.5M
Harcart Health Holdings, LLC	MD	Emergency Medicine Physician	$0	$5.5M
Visionary Ophthalmology LLC	MD	Ophthalmology Physician	$0	$5.2M
Jewish Social Service Agency	MD	Community Based Hospice Care Agency	$0	$4.5M
Rockville Pediatric Dental LLC	MD	Pediatric Dentistry	$0	$4.4M
Behavioral Framework, LLC	MD	Community/Behavioral Health Agency	$0	$4.3M
Vinay Desai	MD	Retina Specialist (Ophthalmology) Physician	$2.5M	$0

Nelson Kalil — Billing Profile & Reimbursement Data

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Nelson Kalil — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References