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

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

Nelbie Anne Duran (NPI 1841874567)

Field	Value
Entity Type	Individual
Organization	Nelbie Anne Duran
Address	1204 N Vercler Rd
City	Spokane Valley
State	WA
ZIP	99216
Taxonomy	Nurse Practitioner
NPI Enumerated	May 9, 2021

Payer Source	Total Paid
Medicare	$54.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	370	$50	$19.3K
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…	170	$70	$12.4K
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…	50	$110	$5.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	570	$10	$4.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	520	$10	$4.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	380	$10	$3.8K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	120	$10	$1.6K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	120	$10	$1.1K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	120	$10	$730
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	40	$10	$210

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Nelbie Anne Duran — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,339	10,860	100	$80	$13.6K
99215	1,562	4,320	40	$120	$8.4K
80053	57	740	50	$10	$6.9K
99213	525	9,690	60	$60	$6.5K
85025	61	670	40	$10	$4.9K
83550	12	80	30	$10	$4.5K
82728	22	180	30	$10	$3.7K
36415	70	1,920	60	$10	$3.5K
83540	21	170	30	$10	$1.9K
83615	45	50	60	$10	$1.5K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Hospital LLC	ID	General Acute Care Hospital	$0	$4.7M
Cancer Care Northwest Centers P S	WA	Hematology & Oncology Physician	$0	$3M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Columbia Surgical Specialists, Ps	WA	Ambulatory Surgical Clinic/Center	$891.1K	$1.2M
Vijay Narendran	FL	Hematology & Oncology Physician	$2M	$0
Saritha Thumma	WA	Hematology & Oncology Physician	$1.8M	$0
Hakan Kaya	WA	Medical Oncology Physician	$1.8M	$0
Christopher Lee	WA	Radiation Oncology Physician	$1.7M	$0
Elizabeth Gunderson	WA	Medical Oncology Physician	$1.6M	$0
Srivalli Gopaluni	WA	Hematology & Oncology Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Nelbie Anne Duran, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Home Infusion Therapy Pharmacy	$27.8K	$41.8M
Incyte Pathology, PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$0	$27.5M
Multicare Health System	WA	General Acute Care Hospital	$0	$24.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$9.5M
Peaks And Plains Medical, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Kirk Fuhriman PLLC	WA	Dentist	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Incyte Pathology, PLLC	WA	Clinical Medical Laboratory	$3.2M	$159.4K
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Nelbie Anne Duran — Billing Profile & Reimbursement Data

Sign up for Nelbie Anne Duran — Billing Profile & Reimbursement Data policy alerts

Nelbie Anne Duran — Billing Profile & Reimbursement Data

Sign up for Nelbie Anne Duran — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References