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.

Lori Nelson (NPI 1720333685)

Field	Value
Entity Type	Individual
Organization	Lori Nelson
Address	9055 Springbrook Dr Nw
City	Coon Rapids
State	MN
ZIP	55433
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 17, 2012

Payer Source	Total Paid
Medicare	$61.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	530	$80	$41K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$110	$5.1K
G2214	Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed…	100	$40	$4.1K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	40	$90	$3.9K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	70	$50	$3.1K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	30	$100	$2.7K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	50	$40	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Lori Nelson — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	39	340	80	$80	$16.2K
99493	38	40	60	$100	$8K
G0439	1,007	2,290	40	$120	$6.9K
G2214	10	30	70	$40	$4.3K
99348	78	210	50	$40	$3.1K
99344	8	80	20	$90	$2.1K
G0180	23	310	20	$40	$860

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	General Acute Care Hospital	$0	$48.8M
Allina Health System	MN	Family Medicine Physician	$0	$22.2M
Nura PLLC	MN	Pain Medicine Physician	$0	$13.8M
Select Senior Living Of Coon Rapids, LLC	MN	Assisted Living Facility	$0	$13.6M
Empathy Home Care Inc	MN	Home Health Agency	$0	$7M
Family & Cosmetic Gentle Dentistry, Ltd	MN	General Practice Dentistry	$0	$6.4M
Nura PLLC	MN	Home Infusion Agency	$0	$6.2M
Kingdom Pathways	MN	Community/Behavioral Health Agency	$0	$5.2M
Uzma Ali	MN	Hematology & Oncology Physician	$868.9K	$0
Scott Peterson	MN	Ophthalmology Physician	$728.2K	$0

Lori Nelson — Billing Profile & Reimbursement Data

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Lori 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

Nearby Providers

Frequently Asked Questions

References