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    v1.0.28
    OpenPayerNPI Medicare & MedicaidErik Nilssen
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    Erik Nilssen — Billing Profile & Reimbursement Data

    NPI 1457579435 · Pensacola, FL · Orthopaedic Surgery Physician

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    Erik Nilssen is a orthopaedic surgery physician provider located in Pensacola, Florida. This profile covers 22 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
    OrganizationErik Nilssen
    Address825 E Burgess Rd
    CityPensacola
    StateFL
    ZIP32504
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 23, 2007

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

    Payer SourceTotal Paid
    Medicare$171.5K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73700In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.420$80$35.2K
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…20$1,220$26.9K
    99214The 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…280$90$26.3K
    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…130$120$15.4K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.500$30$12.4K
    20670Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, or wires, to join skeletal parts and maintain their normal alignment as healing…30$220$6.4K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.190$30$5.2K
    28122In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy.20$230$4.7K
    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…80$60$4.7K
    28296The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes distal metatarsal osteotomy, cutting and realigning a long…10$350$4.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6455581030$2,410$79.5K
    9921410,09132,760140$90$25K
    28285618030$400$12.4K
    9921315,88930,01080$60$12K
    992155,8878,55040$130$10.7K
    2829621010$660$7.9K
    992042,00319,04040$110$7K
    992052,1024,82030$160$6.6K
    2812251020$310$6.2K
    28308243020$270$5.9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aldo GonzalezFLFoot & Ankle Surgery Podiatrist$2.1M$0
    Mcgregor LottFLOphthalmology Physician$1.8M$0
    Orlando CedenoFLFoot Surgery Podiatrist$1.7M$0
    Frederick ShulerFLSpecialist$740.5K$0
    Ehsan EsmaeiliFLSurgery of the Hand (Surgery) Physician$691.3K$0
    Charles TomanFLOrthopaedic Surgery Physician$673.8K$0
    Brian BurroughFLInterventional Pain Medicine Physician$657.3K$0
    Thomas SealesFLAdult Reconstructive Orthopaedic Surgery Physician$631.2K$0
    Jason BooleFLOtolaryngology Physician$616K$0
    Brandon CookFLOrthopaedic Surgery Physician$572.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Pensacola Pediatrics PAFLPediatrics Physician$0$20.4M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$14.8M
    Renal Care Group Of The Southeast, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.1M
    Sacred Heart Health System, Inc.FLFamily Medicine Physician$0$12.3M
    Augustine Emergency Physicians LLCFLEmergency Medicine Physician$0$9.6M
    Pet LLCFLNuclear Radiology Physician$2.4M$118.6K
    Christopher LecroyFLVascular Surgery Physician$1.1M$0
    Clark PollittFLDiagnostic Radiology Physician$1.1M$0
    Aref RifaiFLRetina Specialist (Ophthalmology) Physician$1M$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. Florida Distribution
    Erik Nilssen — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida