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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSydney Nielsen
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    Sydney Nielsen — Billing Profile & Reimbursement Data

    NPI 1609511872 · Show Low, AZ · Family Nurse Practitioner

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    Sydney Nielsen is a family nurse practitioner provider located in Show Low, Arizona. This profile covers 16 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
    OrganizationSydney Nielsen
    Address4951 S White Mountain Rd Bldg A
    CityShow Low
    StateAZ
    ZIP85901
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 3, 2022

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

    Payer SourceTotal Paid
    Medicare$31.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…330$50$16.4K
    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…80$70$5.5K
    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…30$80$2.6K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…20$140$2.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…40$40$1.3K
    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…10$90$980
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$670
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$380
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.10$30$360
    87804The 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$350

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,45510,410120$80$20.6K
    87636182040$120$11.9K
    992131,2679,60080$60$9.6K
    992045,6025,79040$110$6.7K
    992039184,10040$70$4K
    992121,6282,31030$40$2.4K
    6921026937030$30$1.8K
    963729381,56040$10$1K
    874264829020$30$890
    8780429335030$20$740

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Healthcare AssociationAZRural Acute Care Hospital$0$50.7M
    Summit Healthcare Medical AssociatesAZFamily Medicine Physician$0$15.5M
    Riyaz SumarAZCardiovascular Disease Physician$538.4K$0
    Ernesto GomezAZObstetrics & Gynecology Physician$532.6K$0
    Pranav DoshiAZInterventional Cardiology Physician$506.3K$0
    Lorne MurrayAZCardiovascular Disease Physician$462.2K$0
    John EllsworthUTUrology Physician$398.1K$0
    Adhar SethAZCardiovascular Disease Physician$389.6K$0
    Pedro OrtizAZCardiovascular Disease Physician$263.3K$0
    Olga NoskinAZNeurology Physician$205.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Changepoint Integrated HealthAZCommunity/Behavioral Health Agency$0$15.7M
    Guardian Flight LLCAZAir Ambulance$389.9K$3.5M
    Guardian Flight LLCAZAir Ambulance$663.5K$3.1M
    Travis HamblinAZDermatology Physician$1.1M$0
    Barnet Dulaney Perkins Eye Center, PCAZAmbulatory Surgical Clinic/Center$783.1K$267.4K
    Alliance Healthcare Services IncAZMobile Radiology Clinic/Center$461.8K$0
    John KnippersAZOphthalmology Physician$373.8K$0
    Leon DrissAZInternal Medicine Physician$259.6K$0
    Milton RandallAZPhysical Therapist$245K$0
    Peter NiemczykAZUrology Physician$210.5K$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. Arizona Distribution
    Sydney Nielsen — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona