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

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

Nelson Terzian (NPI 1780721837)

Field	Value
Entity Type	Individual
Organization	Nelson Terzian
Address	91550 Overseas Hwy
City	Tavernier
State	FL
ZIP	33070
Taxonomy	Pediatric Urology Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$319.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,260	$100	$128.1K
52001	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	110	$380	$40.3K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	180	$110	$20.1K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	130	$130	$17.7K
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…	140	$120	$17.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$140	$15.5K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	150	$90	$13.4K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	20	$640	$9.6K
52214	The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,…	10	$630	$8.2K
76857	A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…	230	$30	$7.9K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Nelson Terzian — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,156	32,760	140	$90	$25K
J9217	150	360	120	$130	$18.7K
99232	11,017	13,090	120	$60	$17.5K
52000	640	670	80	$160	$17.4K
52601	62	110	20	$740	$15.6K
99223	8,419	11,110	60	$130	$12.5K
52281	46	100	20	$300	$12.4K
99213	13,870	30,010	80	$60	$12K
52214	22	30	20	$430	$10.8K
99215	1,741	8,550	40	$130	$10.7K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miguel Diaz	FL	Family Medicine Physician	$200.8K	$0
Kelvin Ong	FL	Family Medicine Physician	$114.8K	$0
Annie Plate	FL	Orthopaedic Hand Surgery Physician	$57.5K	$0

Nelson Terzian — Billing Profile & Reimbursement Data

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Nelson Terzian — 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