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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Chauncy Nelson (NPI 1912059627)

Field	Value
Entity Type	Individual
Organization	Chauncy Nelson
Address	2135 Valleygate Dr Ste 201
City	Fayetteville
State	NC
ZIP	28304
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	41,210	$90	$3.6M
D8080	N/A	2,930	$820	$2.4M
D8680	N/A	1,140	$600	$684.5K
D0330	N/A	3,430	$60	$202.4K
D0340	N/A	3,420	$50	$177.9K
D0150	Comprehensive oral evaluation – new or established patient	3,590	$40	$158.1K
D0470	N/A	3,420	$40	$147.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Chauncy Nelson — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	8	190	2,510	$90	$774.4K
D8080	N/A	10	100	290	$780	$666.9K
D8680	N/A	17	60	350	$740	$543.5K
D0150	Comprehensive oral evaluation – new or established patient	118	1,310	490	$40	$55.8K
D0330	N/A	92	1,080	400	$50	$55.8K
D0340	N/A	13	120	290	$50	$52.7K
D0470	N/A	13	120	290	$40	$42.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland County Hospital System Inc	NC	General Acute Care Hospital	$0	$75.8M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.8M
Valleygate Dental Surgery Center Of Fayetteville, LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.5M
Cfvhs Ed Physicians	NC	Emergency Medicine Physician	$0	$26.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$14.2M
Pediatric Developmental Therapy	NC	Speech-Language Pathologist	$0	$12.1M
Cumberland County Hospital System Inc	NC	Internal Medicine Physician	$0	$8M
Calvary Pediatrics	NC	Pediatrics Physician	$0	$7.8M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$7.6M
Fayetteville Ambulatory Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$1.4M	$2.2M

Chauncy Nelson — Billing Profile & Reimbursement Data

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Chauncy Nelson — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References