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    v1.0.28
    OpenPayerNPI Medicare & MedicaidClayton Nelson
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    Clayton Nelson — Billing Profile & Reimbursement Data

    NPI 1871854554 · Oklahoma City, OK · Orthopaedic Hand Surgery Physician

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    Clayton Nelson is a orthopaedic hand surgery physician provider located in Oklahoma City, Oklahoma. This profile covers 17 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
    OrganizationClayton Nelson
    Address1110 N Lee Ave Ste 200
    CityOklahoma City
    StateOK
    ZIP73103
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 30, 2012

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

    Payer SourceTotal Paid
    Medicare$85K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$60$14.3K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…40$290$10.9K
    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…80$120$9.8K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$740$8.9K
    99203The provider sees a new 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 provider…100$70$7.2K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…10$430$5.6K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.190$30$5.1K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.200$30$5K
    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…40$90$3.4K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…90$40$3.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,4155,560130$70$18.4K
    992139845,45080$50$8.7K
    64721104020$310$8.4K
    2560941010$630$7.6K
    26055323030$220$7.3K
    992045352,79040$100$5.8K
    992032481,90030$70$3.5K
    992122911,10030$30$2.3K
    205502111030$40$1.6K
    2060047030$30$1.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ssm Health Care Of Oklahoma, Inc.OKGeneral Acute Care Hospital$0$46.8M
    St Anthony Shawnee Hospital IncOKGeneral Acute Care Hospital$0$23M
    Saints Medical Group, LLCOKInternal Medicine Physician$0$14.5M
    Midwest Regional Medical Center, LLCOKGeneral Acute Care Hospital$0$5.3M
    Ssm Health Care Of Oklahoma, IncOKGeneral Acute Care Hospital$0$4.9M
    Saint Medical Group, LLCOKFamily Medicine Physician$0$4.5M
    Ssm Health Care Of Oklahoma, IncOKPsychiatry Physician$0$1.8M
    Midwest Regional Medical Center, LLCOKAmbulance$0$1.8M
    Ssm Health Care Of Oklahoma, IncOKAmbulance$0$1.6M
    Saints Medical Group, LLCOKFamily Medicine Physician$0$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Al-botros PLLCOKPsychiatry Physician$0$3.7M
    The Prevention Center, LLCOKCommunity/Behavioral Health Agency$0$3.7M
    Crescent Infectious Diseases PLLCOKInfectious Disease Physician$0$2.1M
    Choices Counseling CenterOKCommunity/Behavioral Health Agency$0$1.6M
    Muhammad GillanOKRheumatology Physician$856K$0
    Christine CoddingOKRheumatology Physician$597.4K$0
    Scott De La GarzaOKOrthopaedic Surgery of the Spine Physician$321.8K$0
    Caitlin ShepherdOKUrology Physician$293.8K$0
    Jacob HaynesOKAdult Reconstructive Orthopaedic Surgery Physician$271.3K$0
    Saud AhmedOKInfectious Disease Physician$263.8K$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. Oklahoma Distribution
    Clayton Nelson — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma