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    OpenPayerNPI Medicare & MedicaidBrian Nickel
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    Brian Nickel — Billing Profile & Reimbursement Data

    NPI 1588920227 · Madison, WI · Orthopaedic Surgery Physician

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    Brian Nickel is a orthopaedic surgery physician provider located in Madison, Wisconsin. This profile covers 5 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
    OrganizationBrian Nickel
    Address4602 Eastpark Blvd
    CityMadison
    StateWI
    ZIP53718
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 6, 2012

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

    Payer SourceTotal Paid
    Medicare$233.8K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…150$920$138.6K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…90$930$78.8K
    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…220$40$9.8K
    99203The provider sees a new 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 provider…90$60$5.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…50$30$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447228030$990$33.8K
    27130222020$970$25.1K
    992137409,38060$50$4.7K
    2061034681040$40$3.1K
    992032052,82030$60$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    Dean Health Systems, IncWIAllergy & Immunology Physician$0$26.3M
    University Of Wisconsin Medical Foundation, IncWIMulti-Specialty Clinic/Center$0$15.2M
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$2M$856.3K
    Infinity Healthcare Physicians, S.c.WIEmergency Medicine Physician$0$2.5M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$1.8M$750K
    Amol KulkarniWIOphthalmology Physician$2.1M$0
    Mitchell WolfWIOphthalmology Physician$1.6M$0
    James BellWIOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milwaukee Health Services System, LLCWIMethadone Clinic$211.3K$10.9M
    Fresenius Kidney Care Madison, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.8M
    Evan WarnerWIOphthalmology Physician$279.5K$0
    David HennessyWIOrthopaedic Surgery Physician$220.1K$0
    Gregory CooleyWIRadiation Oncology Physician$194.9K$0
    Brian GroganWISports Medicine (Orthopaedic Surgery) Physician$150.5K$0
    Fresenius Access Care Physicians Of Madison Asc LLCWIAmbulatory Surgical Clinic/Center$115.6K$0
    John FrangiskakisWICardiovascular Disease Physician$114.9K$0
    Rachel SullivanWIFamily Nurse Practitioner$110.6K$0
    Nimira JinaWIGeriatric Medicine (Internal Medicine) Physician$83.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Brian Nickel — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin