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    OpenPayerNPI Medicare & MedicaidAndrew Nelson
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    Andrew Nelson — Billing Profile & Reimbursement Data

    NPI 1861810541 · Galena, KS · Orthopaedic Surgery Physician

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    Andrew Nelson is a orthopaedic surgery physician provider located in Galena, Kansas. This profile covers 16 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
    OrganizationAndrew Nelson
    Address444 Four States Dr Ste 1
    CityGalena
    StateKS
    ZIP66739
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 31, 2014

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

    Payer SourceTotal Paid
    Medicare$200.6K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…70$910$63.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…60$940$55.2K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…100$180$17.5K
    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…230$60$12.8K
    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…140$80$11.3K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.300$30$8.8K
    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…70$110$7.9K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…190$30$5.2K
    99213The 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…80$60$4.3K
    99215The 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…30$120$4.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475018050$630$35.5K
    271301213030$640$21.9K
    992142,0364,310120$70$16.4K
    0055T51070$150$11.3K
    992132,2814,33090$50$8.7K
    992157921,35040$100$8.4K
    992044521,93040$100$6K
    206106458050$40$4.4K
    992229751,18030$90$4.3K
    992037531,45030$60$3.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    West County Radiological Group, Inc.MODiagnostic Radiology Physician$0$5.4M
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Jordan DeanerPAOphthalmology Physician$2M$0
    Dong-wouk ParkWARetina Specialist (Ophthalmology) Physician$1.9M$0
    Vivek AbhyankarOHHematology & Oncology Physician$1.9M$0
    Walter HenricksOHAnatomic Pathology Physician$1.9M$880
    Kasra KaramlouOHHematology & Oncology Physician$1.5M$0
    Steve HuangAZNuclear Medicine Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Keith MallattKSOptometrist$26.2K$672.2K
    Michael HearndonKSInterventional Pain Medicine Physician$200.7K$0
    John OgdenKSOrthopaedic Surgery Physician$181.8K$0
    Eugerie HanleyKSInterventional Pain Medicine Physician$132.4K$0
    Larry NeffKSPhysician Assistant$98.1K$0
    Allan WestonKSGastroenterology Physician$78K$0
    David BlanchoKSPodiatrist$53.9K$0
    Jonathan GranthamKSOrthopaedic Surgery Physician$50.9K$0
    Christopher JonesKSPhysician Assistant$46.6K$0
    Seth SewellKSFamily Nurse Practitioner$37.4K$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. Kansas Distribution
    Andrew Nelson — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas