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

Why is the Medicaid comparison limited to Oregon 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. Oregon (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.

Wayne Nelson (NPI 1992909766)

Field	Value
Entity Type	Individual
Organization	Wayne Nelson
Address	1550 Ne 27th St Ste 100
City	Bend
State	OR
ZIP	97701
Taxonomy	Vascular Surgery Physician
NPI Enumerated	June 13, 2007

Payer Source	Total Paid
Medicare	$611.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37227	N/A	30	$8,220	$221.9K
37229	N/A	20	$5,810	$92.9K
37225	N/A	20	$5,500	$88.1K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	50	$720	$32.3K
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…	440	$60	$27.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	200	$130	$26.5K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	110	$120	$12.9K
37215	The provider places an intravascular stent into a cervical carotid artery under imaging guidance. He may place the stent through a percutaneous catheter or via an open incision. He also places an…	20	$670	$12.7K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	60	$180	$10K
93926	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…	100	$90	$8.9K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Wayne Nelson — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37227	2	10	20	$8,460	$194.6K
37229	1	10	20	$5,810	$92.9K
37225	1	10	10	$6,110	$85.5K
37252	2	10	30	$500	$14.6K
99214	2,866	6,070	80	$70	$10.3K
37215	1	10	10	$670	$10.1K
99213	178	5,480	60	$50	$5.7K
93978	7	40	30	$90	$4.8K
99205	381	940	20	$150	$4.7K
99204	642	2,750	30	$110	$4.4K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bend Memorial Clinic PC	OR	Family Medicine Physician	$0	$11.7M
Anthony Kahr	OR	Rheumatology Physician	$2.8M	$0
Laith Kadasi	OR	Ophthalmology Physician	$2.2M	$0
Gregory Borstad	NC	Rheumatology Physician	$1.6M	$0
Christina Bright	OR	Rheumatology Physician	$1.4M	$0
William Schmidt	OR	Hematology & Oncology Physician	$1.4M	$0
Benjamin Miriovsky	AL	Hematology & Oncology Physician	$1.3M	$0
Adam Williams	OR	Allergy & Immunology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Rahim Fazel	OR	Diagnostic Radiology Physician	$574.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ortc, LLC	OR	Substance Abuse Rehabilitation Facility	$747.3K	$16.2M
Telecare Mental Heatlh Service Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12.8M
Pfeifer & Associates	OR	Community/Behavioral Health Agency	$0	$11.6M
Grants Pass Treatment Center	OR	Substance Abuse Rehabilitation Facility	$0	$9.5M
St. Charles Health System, Inc.	OR	Family Medicine Physician	$0	$8.6M
Deschutes County Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Central Oregon Pediatric Associates	OR	Pediatrics Physician	$0	$7.2M
Bend Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$4.8M	$1.7M
Adam Angeles	OR	Plastic and Reconstructive Surgery Physician	$6.5M	$0
Central Oregon Emergency Physicians LLC	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5.2M

Wayne Nelson — Billing Profile & Reimbursement Data

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Wayne 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

Nearby Providers

Frequently Asked Questions

References