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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Kelley Nelson (NPI 1881843621)

Field	Value
Entity Type	Individual
Organization	Kelley Nelson
Address	8316 Kaseman Ct Ne
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Physician Assistant
NPI Enumerated	September 17, 2008

Payer Source	Total Paid
Medicare	$23K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	220	$50	$11.2K
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…	110	$40	$3.9K
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…	60	$70	$3.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	100	$30	$2.8K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	50	$10	$640
99203	The 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…	20	$30	$380
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	10	$20	$230
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	60	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Kelley Nelson — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	639	2,700	90	$70	$12.9K
11102	67	70	140	$60	$11.6K
17000	69	110	220	$30	$10.4K
99213	838	2,440	60	$50	$7.3K
17003	80	90	830	$1	$5.3K
99204	305	1,210	30	$100	$4.5K
99203	687	870	30	$60	$3.3K
99451	5	10	20	$30	$670

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catherine Tchanque-fossuo	NM	Dermatology Physician	$239.2K	$0
Caitlyn Mccue	WY	Physician Assistant	$207.8K	$0
John Bowden	NM	Dermatology Physician	$198.7K	$0
Michaela Jacobs	NM	Dermatology Physician	$185.3K	$0
Allison Legler	NM	Dermatology Physician	$149.6K	$0
Lori Whitley	NM	Dermatology Physician	$135.1K	$0
Niki Ninopoulos	NM	Medical Physician Assistant	$107.9K	$0
Leigh Higgins	NM	Physician Assistant	$100K	$0
Lauren Good	NM	Dermatology Physician	$91.8K	$0
Maria Abeyta	NM	Physician Assistant	$85.5K	$0

Kelley Nelson — Billing Profile & Reimbursement Data

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Kelley Nelson — 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

Frequently Asked Questions

References