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

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

Whitney Nelson (NPI 1508465121)

Field	Value
Entity Type	Individual
Organization	Whitney Nelson
Address	842 E Mountain Pkwy
City	Salyersville
State	KY
ZIP	41465
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 23, 2020

Payer Source	Total Paid
Medicare	$670
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	20	$20	$300
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	$10	$180
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$1	$100
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	20	$10	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Whitney Nelson — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	755	880	50	$10	$1.2K
82948	4	10	20	$1	$1.1K
87804	457	530	40	$20	$940
81002	180	490	30	$1	$170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albaree Health Services LLC	KY	Internal Medicine Physician	$0	$10.1M
Eastern Kentucky Tender Care Pediatrics LLC	KY	Rural Health Clinic/Center	$0	$5.2M
Martin County Rural Health Clinic PLLC	KY	Rural Health Clinic/Center	$0	$4.2M
Donald Chaffin	KY	Family Medicine Physician	$890	$355.4K
Callie Jervis	KY	Family Nurse Practitioner	$109K	$0
Bethany Pennington	KY	Family Nurse Practitioner	$270	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frontier Behavioral Health Center PLLC	KY	Multi-Specialty Clinic/Center	$0	$24.2M
Lisa Cheek	KY	Family Nurse Practitioner	$41.1K	$642.4K
Kerri Dues	KY	Occupational Therapist	$62.9K	$0
Sarah Patrick	KY	Family Nurse Practitioner	$12.9K	$26.4K
Sarah Dyer	KY	Family Nurse Practitioner	$10.8K	$0

Whitney Nelson — Billing Profile & Reimbursement Data

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Whitney Nelson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References