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    OpenPayerNPI Medicare & MedicaidNathan Hilton
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    Nathan Hilton — Billing Profile & Reimbursement Data

    NPI 1770526188 · Brainerd, MN · Radiation Oncology Physician

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    Nathan Hilton is a radiation oncology physician provider located in Brainerd, Minnesota. This profile covers 21 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
    OrganizationNathan Hilton
    Address215 Ivy St
    CityBrainerd
    StateMN
    ZIP56401
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    Provider billing is effectively single‑payer: total Medicare revenue is $1.2M and there is no Medicaid billing on file (none), so Medicaid does not contribute to this provider's revenue mix and Medicare dominates all payer exposure. This concentration means network negotiations, utilization review, and quality measures will be driven entirely by Medicare activity for this NPI.

    Revenue is highly concentrated in a few delivery codes: the precomputed top 3 Medicare codes (G6015, G6012, 77014) account for 59.3% of the provider's total Medicare revenue. Those top contributors are G6015 ($414.7K, 35.1%), G6012 ($146.9K, 12.4%), and 77014 ($138.1K, 11.7%), indicating that most billed dollars come from technical radiation‑delivery services rather than office evaluation visits.

    The code mix and descriptions indicate a radiation oncology practice focused on advanced external beam treatments and planning workflows: frequent claims for G6015 (1.4K claims) and G6012 (773 claims) alongside IMRT planning and delivery codes such as 77301 (88 claims) and 77338 (89 claims) show routine delivery of intensity‑modulated and custom‑blocked treatments. The presence of stereotactic body radiation therapy entries (77373, 77435) and planning/simulation codes (77290, 77293, 77295) further supports a technical services–heavy operation with in‑house planning and physics involvement.

    Competitive standing is mixed by code: for G6015 the provider ranks #190 of 1429 (87th percentile) with a "typical, unremarkable volume for this code," while for G6012 the provider ranks #42 of 868 (95th percentile) — also labeled "typical, unremarkable volume for this code" but implying relatively higher national volume in that specific delivery modality. 77014 ranks #295 of 4303 (93th percentile) with the same plain‑English label, and 77427 ranks #295 of 4720 (94th percentile) and is described as "notably above typical national volume for this code," signaling above‑typical activity on some treatment/therapy codes even though the overall profile is not dominant across all national peers.

    Operational focus leans toward technical/therapy revenue over E/M: evaluation and management codes appear only as small revenue contributors (e.g., 99204: 77 claims, $9.6K revenue, 0.8%; 99215: 24 claims, $3.2K revenue, 0.3%), indicating the provider bills primarily for radiation delivery and associated planning/physics services rather than face‑to‑face visit volume. This suggests clinical throughput is structured around treatment fractions and planning sessions rather than high volumes of new or established office visits.

    Tenure and stability: the NPI was enumerated 2006-06-14 (~20 years ago), indicating a long‑standing billing presence in Medicare. That duration supports interpretation of the current code mix and volumes as an established practice pattern rather than a short‑term billing anomaly.

    There is limited mid‑range variability across technical codes: several planning and physics codes show typical, unremarkable volumes (for example, 77301 ranks #323 of 3815 (91th percentile) and 77338 ranks #421 of 3807 (88th percentile)), while some ancillary planning codes sit nearer the median (77295 ranks #1442 of 3008, 49th percentile). These mixed percentiles — many labeled "typical, unremarkable volume for this code" — indicate steady, expected utilization of the full planning-to‑delivery workflow without extreme outlier behavior in most line items.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,430$290$414.7K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev770$190$146.9K
    77014N/A1,440$100$138.1K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…90$1,460$128.3K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…110$810$89.9K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…430$150$63.1K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…90$370$32.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…460$70$31.4K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.250$100$24.3K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…40$360$16K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015130470$290$137.6K
    7737312050$810$46.3K
    G6012130160$190$37.8K
    77014160450$60$28.3K
    7730158040$660$27.1K
    77280115030$200$26.7K
    774272110100$150$16.8K
    77435104020$490$11.2K
    77336130140$70$10.6K
    7733848040$230$9.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WattsonMNRadiation Oncology Physician$728K$0
    Stephanie ChildsMNRadiation Oncology Physician$714.6K$0
    Kurt NisiMNRadiation Oncology Physician$559.7K$0
    Jenna BorkenhagenMNRadiation Oncology Physician$491.7K$0
    Raul Fernandez-gonzalezMNRadiation Oncology Physician$488.3K$0
    Duncan DicksonMNRadiation Oncology Physician$391.3K$0
    Mohamed KhattabMNRadiation Oncology Physician$358.1K$0
    John KosiakMNRadiation Oncology Physician$326.7K$0
    Richard DiazMNRadiation Oncology Physician$266.3K$0
    Colton GitsMNRadiation Oncology Physician$265.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Joseph's Medical CenterMNGeneral Acute Care Hospital$0$41.5M
    Mille Lacs Band Of Ojibwe IndiansMNSubstance Abuse Rehabilitation Facility$0$17.5M
    Minnesota Teen Challenge, IncMNSubstance Abuse Rehabilitation Facility$0$14.4M
    Valhalla Place Brainerd LLCMNMethadone Clinic$195.5K$8.8M
    Edgewood Brainerd Senior Living LLCMNAssisted Living Facility$0$8.7M
    Prs Transportation Services, Inc.MNNon-emergency Medical Transport (VAN)$0$6.9M
    Minnesota Specialty Health Systems-brainerdMNMental Illness Community Based Residential Treatment Facility$0$6.2M
    Independent School Dist 181 Crow Wing CountyMNLocal Education Agency (LEA)$0$5.2M
    David SabirMNOphthalmology Physician$274.9K$0
    Tyler DunphyMNInternal Medicine Physician$144.3K$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. Minnesota Distribution
    Nathan Hilton — 12 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota