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

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

Lisa Nielsen (NPI 1598706970)

Field	Value
Entity Type	Individual
Organization	Lisa Nielsen
Address	1300 Crystal Rd
City	Island Falls
State	ME
ZIP	04747
Taxonomy	Family Medicine Physician
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$1.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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).…	70	$10	$650
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…	100	$1	$300
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	$290
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	20	$20	$270
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…	50	$1	$140

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

Claims Volume vs. Maine Distribution

Lisa Nielsen — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	47	230	40	$10	$690
87804	19	20	30	$20	$520
87880	12	30	20	$20	$280
81002	3	60	20	$1	$110
93005	1	10	10	$1	$60

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$22.5M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$10M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$8.7M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$4.4M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$2.1M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$2M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.5M
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Valley Association	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M

Lisa Nielsen — Billing Profile & Reimbursement Data

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Lisa Nielsen — 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