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

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

Heather Nelson-przywara (NPI 1871078220)

Field	Value
Entity Type	Individual
Organization	Heather Nelson-przywara
Address	317 W Chestnut Street
City	Quarryville
State	PA
ZIP	17566
Taxonomy	Clinical Social Worker
NPI Enumerated	October 2, 2018

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	100	$40	$4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$90	$1.4K
98967	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	50	$10	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Heather Nelson-przywara — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	146	360	70	$50	$10.7K
90791	383	550	20	$110	$5.8K
98967	2	10	50	$10	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Shepherd	PA	Rheumatology Physician	$1.3M	$0
Lisa Allen	PA	Rheumatology Physician	$863.6K	$0
Sandhya Adusumilli	PA	Rheumatology Physician	$817.3K	$0
Charles Henderson	PA	Rheumatology Physician	$556.3K	$500
Andrew Old	PA	Orthopaedic Surgery Physician	$420.7K	$0
Keith Kuhlengel	PA	Neurological Surgery Physician	$176.6K	$0
Lauren Witmer	PA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$135.2K	$0
Babak Iranmanesh	OH	Family Medicine Physician	$124.8K	$7.7K
Wen Ying Wu-chen	PA	Neurology Physician	$122.5K	$0
Jan-karl Burkhardt	PA	Neurological Surgery Physician	$119.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Soltys	PA	Physical Therapist	$168K	$0
Sarah Marley	PA	Medical Physician Assistant	$43.5K	$0

Heather Nelson-przywara — Billing Profile & Reimbursement Data

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Heather Nelson-przywara — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References