Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Nelson
    Ask Trek AI about this page

    William Nelson — Billing Profile & Reimbursement Data

    NPI 1497728711 · St Paul, MN · Cardiovascular Disease Physician

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    William Nelson is a cardiovascular disease physician provider located in St Paul, Minnesota. This profile covers 14 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Nelson
    Address640 Jackson St
    CitySt Paul
    StateMN
    ZIP55101
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicare$23K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…100$60$5.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$140$4.9K
    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…50$80$3.7K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…30$90$2.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$50$2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.380$10$1.9K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…40$10$410
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$10$370
    93000The 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…20$10$230
    93228In this procedure, the provider reviews and interprets data collected from the continuous recording and transmission of electrocardiographic data to detect abnormal heart rates and rhythms. He…10$20$220

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306261330220$60$14.2K
    992146,37510,10070$80$8.1K
    992238392,36030$130$5K
    75561235030$150$4.7K
    784529818040$70$3.6K
    364152,3163,48080$10$1.5K
    93010951,00090$10$1.2K
    93228616030$20$1.1K
    93227849030$10$840
    9330828633030$20$750

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Regions HospitalMNEmergency Medicine Physician$0$15.1M
    Regions HospitalMNGeneral Acute Care Hospital$0$5.6M
    Bethel AverbeckMNInternal Medicine Physician$1.2M$0
    John ZeyerMNOphthalmology Physician$521K$5.5K
    Joshua JohnsonMNDiagnostic Radiology Physician$243.7K$0
    Keith MoenchMNPhysical Medicine & Rehabilitation Physician$178.7K$0
    Paul CarolanMNDiagnostic Radiology Physician$174.3K$0
    Nathan BlockMNDiagnostic Radiology Physician$146K$0
    Thomas StormontMNUrology Physician$128K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramsey County Community Human ServicesMNPublic Health or Welfare Agency$0$97.5M
    South Metro Human Services- TcmMNCase Management Agency$0$21.3M
    South Metro Human Services-act PurpleMNCase Management Agency$0$10.9M
    South Metro Human Services-act BlueMNCase Management Agency$0$9.9M
    Specialized Treatment Services, Inc.MNMethadone Clinic$444.6K$6.4M
    Gillette Children's Specialty HealthcareMNMulti-Specialty Clinic/Center$0$5.4M
    Prasongchai SattayaprasertMNCardiovascular Disease Physician$238.9K$1.1K
    Wilfrido CastanedaMNDiagnostic Radiology Physician$151.2K$0
    Ryan KoeneMNClinical Cardiac Electrophysiology Physician$120K$0
    Charles ShidemanMNRadiation Oncology Physician$118.9K$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. Minnesota Distribution
    William Nelson — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota