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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSpencer Nielson
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    Spencer Nielson — Billing Profile & Reimbursement Data

    NPI 1962992768 · Delta, UT · Family Medicine Physician

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    Spencer Nielson is a family medicine physician provider located in Delta, Utah. This profile covers 27 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
    OrganizationSpencer Nielson
    Address140 White Sage Ave
    CityDelta
    StateUT
    ZIP84624
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 16, 2018

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

    Payer SourceTotal Paid
    Medicare$65.7K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…390$80$32.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$120$7.6K
    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…130$60$7.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$110$5.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…60$50$2.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…160$10$1.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…10$90$1.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$1K
    G0444Annual depression screening, 5 to 15 minutes50$20$780
    17000The 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.20$30$740

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143454,08080$80$11.6K
    G043946799060$120$10.8K
    992155031,19040$110$7.5K
    17000214270130$30$6.8K
    992139733,68060$50$6.4K
    9923281988060$60$6.1K
    9923932837040$80$4.4K
    17003180230510$1$3.7K
    2061017943050$40$3.4K
    8005322044060$10$2.5K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTCritical Access Hospital$0$524.8K
    Ihc Health Services IncUTFamily Medicine Physician$0$305.7K
    Alan SmithUTFamily Medicine Physician$286.7K$0
    Randy StinsonUTPhysical Therapist$238.5K$0
    Steven ShamoUTFamily Medicine Physician$94.8K$0
    Service Drug Company IncUTCommunity/Retail Pharmacy$55.3K$5.1K
    Mandy LemmonUTFamily Nurse Practitioner$22.8K$0
    Katy RoperUTSpeech-Language Pathologist$11.9K$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. Utah Distribution
    Spencer Nielson — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah