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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

David Nelson (NPI 1457320178)

Field	Value
Entity Type	Individual
Organization	David Nelson
Address	25 Mt. Eustis Road
City	Littleton
State	NH
ZIP	03561
Taxonomy	Family Medicine Physician
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicare	$10.4K
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
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$6.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	60	$30	$1.7K
G0009	Administration of pneumococcal vaccine	20	$30	$740
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	110	$1	$460
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	20	$10	$230
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	10	$20	$200
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$10	$110
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$1	$100

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. New Hampshire Distribution

David Nelson — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90677	127	320	20	$270	$7.1K
80305	12	20	20	$10	$1.7K
36415	185	190	80	$10	$1.4K
87428	10	90	30	$30	$970
85610	19	50	80	$1	$760
G0009	135	340	20	$30	$710
G0328	2	10	10	$20	$230
93005	12	70	20	$1	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ammonoosuc Community Health Services, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$4.3M
Ammonoosuc Community Health Services, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$2.3M
Ammonoosuc Community Health Services, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$341.3K
Ammonoosuc Community Health Services, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$274.8K
Ammonoosuc Community Health Services, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$229.8K
Julianne Bailey	NH	Mental Health Counselor	$0	$61.7K
Caitlin Odonnell	NH	Family Medicine Physician	$26.6K	$0
Melissa Buddensee	NH	Family Medicine Physician	$20K	$0
Patricia Pratt	VT	Internal Medicine Physician	$750	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nfi North Inc.	NH	Adolescent and Children Mental Health Clinic/Center	$0	$31.6M
Littleton Hospital Association	NH	Critical Access Hospital	$0	$5.2M
Littleton Hospital Association	NH	Rural Health Clinic/Center	$0	$3.4M
North Country Home Health & Hospice Agency, Inc.	NH	Home Health Agency	$0	$1.9M
Envision Eye Care, PLLC	NH	Optometrist	$0	$738.1K
Center For New Beginnings	NH	Mental Health Counselor	$0	$537.2K
Convenientmd LLC	NH	Urgent Care Clinic/Center	$0	$435.1K
Trugranite Service Coordination LLC	NH	Case Management Agency	$0	$368.9K
Sona Senior Living Nh LLC	NH	Assisted Living Facility	$0	$246.7K
Riverglen House Esl	NH	Assisted Living Facility	$0	$234.1K

David Nelson — Billing Profile & Reimbursement Data

Sign up for David Nelson — Billing Profile & Reimbursement Data policy alerts

David Nelson — Billing Profile & Reimbursement Data

Sign up for David Nelson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References