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    OpenPayerNPI Medicare & MedicaidRichard Nelson
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    Richard Nelson — Billing Profile & Reimbursement Data

    NPI 1902003700 · Menlo Park, CA · Anesthesiology Physician

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    Richard Nelson is a anesthesiology physician provider located in Menlo Park, California. This profile covers 5 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
    OrganizationRichard Nelson
    Address1422 El Camino Real
    CityMenlo Park
    StateCA
    ZIP94025
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 27, 2007

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

    Payer SourceTotal Paid
    Medicare$21.1K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00670The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…10$690$8.3K
    00918The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…20$190$3.5K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.10$290$3.2K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.10$280$3.1K
    00914The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.20$200$2.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0067020128020$480$9.2K
    0140263371020$250$5.6K
    0121427334010$260$5K
    0091894020$160$2.8K
    00914177010$180$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helder ChinMIAnesthesiology Physician$18.9K$0
    Himabindu PoonatiCAAnesthesiology Physician$16.7K$0
    Maria GomezAZAnesthesiology Physician$10K$0
    Svetlana HelmsWAAnesthesiology Physician$4.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avellino Lab Usa, Inc.CAClinical Medical Laboratory$2.4M$36M
    Jeffrey GuardinoCACardiovascular Disease Physician$555.4K$0
    Longs Drug Stores California LLCCAPharmacy$426.1K$0
    Jon StarrCAMOHS-Micrographic Surgery Physician$377K$0
    Seema SinhaCACardiovascular Disease Physician$269.8K$0
    Mara GiattinaCACardiovascular Disease Physician$217.2K$0
    Paul YunCAOtolaryngology Physician$116.3K$0
    Nancy HsiehCAMedical Physician Assistant$88.8K$0
    Daniel TonCAAnesthesiology Physician$67.4K$0
    Harvey YoungCAGastroenterology Physician$63.4K$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. California Distribution
    Richard Nelson — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California