CARL NELSON, M.D.
Radiation Oncology Physician · BURLINGTON, VT
Individual Active NPI 1043443518
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 266 | 1,379 | $721,308 | $153,732 | $117,726 |
| 2023 | 249 | 1,089 | $487,791 | $102,667 | $81,093 |
| 2022 | 272 | 1,453 | $571,273 | $130,405 | $102,096 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 77427 | Radiation treatment management, 5 treatment sessions | 242 | $181 | $142 |
| 77334 | Design and construction of complex radiation treatment device | 203 | $58 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 194 | $62 | $42 |
| 77300 | Calculation of radiation therapy dose | 178 | $31 | $25 |
| 77263 | Complex radiation therapy planning | 84 | $159 | $122 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 55 | $168 | $123 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 52 | $92 | $62 |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 43 | $79 | $61 |
| 77301 | High precision radiation therapy planning | 43 | $402 | $307 |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 43 | $216 | $172 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 33 | $36 | $29 |
| 77295 | 3d radiation therapy planning | 32 | $215 | $166 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ✓ | 0420012686 | VT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Radiation Oncology Physician providers in Vermont
- NPI 1174152250
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- NPI 1407059371
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- NPI 1467727685
- NPI 1730561754
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.