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    OpenPayerNPI Medicare & MedicaidMatthew Nelson
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    Matthew Nelson — Billing Profile & Reimbursement Data

    NPI 1720281306 · Beckley, WV · Orthopaedic Surgery Physician

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    Matthew Nelson is a orthopaedic surgery physician provider located in Beckley, West Virginia. This profile covers 10 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
    OrganizationMatthew Nelson
    Address1717 Harper Rd
    CityBeckley
    StateWV
    ZIP25801
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 8, 2007

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

    Payer SourceTotal Paid
    Medicare$265.8K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,720$80$142.5K
    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…1,380$50$70.1K
    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…20$990$16.9K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…450$30$13.1K
    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…100$110$11K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…140$30$4.6K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4,610$1$4.6K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…60$30$2K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.30$20$660
    J1885Injection, ketorolac tromethamine, per 15 mg750$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447547030$1,070$38.6K
    9921432,740100$70$11.8K
    20610124060$40$5.3K
    99204771,22030$100$4.1K
    2055312030$30$2K
    2060523030$40$1.3K
    2060043020$30$1.3K
    20552133030$30$1.1K
    J33011150170$1$370
    J188517050$1$40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew K. Nelson MdWVOrthopaedic Surgery Physician$0$3.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raleigh General Hospital LLCWVGeneral Acute Care Hospital$0$36.4M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Fmrs Health Systems IncWVCommunity/Behavioral Health Agency$0$27M
    Health Care Alliance, Inc.WVEmergency Medicine Physician$0$25M
    Jan-care Ambulance Of Raleigh County IncWVLand Ambulance$1.9M$20.8M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$16.7M
    Mountain State Home Health Care IncWVNursing Care Agency$0$16.5M
    Family Options Providers, LLC.WVCommunity/Behavioral Health Agency$0$16.1M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$13.8M

    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. West Virginia Distribution
    Matthew Nelson — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia