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

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

Brian Nelson (NPI 1619974318)

Field	Value
Entity Type	Individual
Organization	Brian Nelson
Address	1925 W Mountain View Ave
City	Longmont
State	CO
ZIP	80501
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$40.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
57425	The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.	20	$740	$15.5K
57423	In this procedure, the provider repairs a paravaginal defect using a laparoscopic approach. The provider may also perform a cystocele repair as part of this procedure.	20	$380	$6.4K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	20	$370	$5.5K
57250	In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…	20	$250	$5.3K
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	10	$370	$4.8K
57267	The provider inserts a prosthetic graft over the anterior and or posterior vaginal wall because of the lack of reasonable tissue strength. This is a vaginal approach procedure. This is an add–on…	10	$200	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Brian Nelson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
57425	5	10	20	$530	$12.3K
58571	5	10	10	$530	$9.1K
57288	5	10	20	$300	$5.7K
57423	1	10	20	$210	$3.6K
57267	2	10	10	$150	$3.6K
57250	2	10	20	$190	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Levine	CO	Rheumatology Physician	$1.7M	$0
Joshua Petit	CO	Radiation Oncology Physician	$443.5K	$0
Bradley Mikaelian	CO	Clinical Cardiac Electrophysiology Physician	$368.2K	$0
Christy Young	CO	Neurology Physician	$323.7K	$0
Charles Johnson	CO	Clinical Cardiac Electrophysiology Physician	$273.2K	$0
Janelle Laughlin	CO	Rheumatology Physician	$270K	$0
Russell Heath	CO	Clinical Cardiac Electrophysiology Physician	$243.5K	$0
Megan Auer	WY	Family Nurse Practitioner	$238.4K	$0
Lance Richards	CO	Cardiovascular Disease Physician	$237.9K	$0
Tristan Dow	CO	Cardiovascular Disease Physician	$232.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sample Supports	CO	Community/Behavioral Health Agency	$0	$105.8M
Salud Family Health	CO	Federally Qualified Health Center (FQHC)	$0	$25.7M
Carmel Community Living Corporation	CO	Developmentally Disabled Services Day Training Agency	$0	$21.2M
Elevated Supports, LLC	CO	Respite Care	$0	$14.6M
Hero Dental Of Longmont PC	CO	General Practice Dentistry	$0	$13M
Hopelight Medical Clinic	CO	Health Service Clinic/Center	$0	$12.3M
Hero Vision Of Longmont, LLC	CO	Optometrist	$0	$11.9M
Senior Housing Options, Inc.	CO	Assisted Living Facility	$0	$5.7M
Vcphcs X, LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$156.9K	$5.3M
Longmont United Hospital	CO	General Acute Care Hospital	$0	$5.2M

Brian Nelson — Billing Profile & Reimbursement Data

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Brian 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