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

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

Eric Nelson (NPI 1619946811)

Field	Value
Entity Type	Individual
Organization	Eric Nelson
Address	6405 France Ave S
City	Edina
State	MN
ZIP	55435
Taxonomy	Ophthalmic Plastic and Reconstructive Surgery Physician
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicare	$99.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	40	$630	$27.7K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	50	$490	$25K
J0585	Injection, onabotulinumtoxina, 1 unit	3,270	$10	$16.4K
67900	The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…	30	$300	$9.9K
99203	The 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	$80	$6.9K
64612	In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.	40	$130	$4.4K
99204	The 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…	30	$120	$3.2K
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	90	$20	$2K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	100	$20	$1.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$50	$950

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Eric Nelson — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	75	80	7,600	$1	$58.2K
15823	11	40	30	$530	$25K
67904	6	20	40	$580	$22K
67900	9	20	20	$420	$14.1K
64612	9	10	40	$130	$5.7K
99213	9,009	9,120	50	$50	$4K
99204	1,407	3,340	20	$110	$3.6K
99203	137	2,690	20	$70	$2.3K
92081	6	20	60	$20	$1.3K
99212	648	1,670	20	$30	$1.2K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lahey Clinic Hospital, Inc.	MA	General Acute Care Hospital	$0	$112.9M
Infinite Health Collaborative, PA	MN	Orthopaedic Surgery Physician	$0	$19.4M
Summit Orthopedics, Ltd	MN	Orthopaedic Surgery Physician	$0	$6.7M
David Parke	MN	Ophthalmology Physician	$4.8M	$0
Sundeep Dev	MN	Ophthalmology Physician	$4.5M	$0
Polly Quiram	MN	Ophthalmology Physician	$3.7M	$0
Abdhish Bhavsar	MN	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Richard Johnston	MN	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Edwin Ryan	MN	Ophthalmology Physician	$1.5M	$0
Akhilesh Sharma	AZ	Infectious Disease Physician	$1.2M	$0

Eric Nelson — Billing Profile & Reimbursement Data

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Eric 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

Frequently Asked Questions

References