Dr. Lauren Nelson, MD
16120 W Dodge Rd, Omaha, NE 68118 • +1-458-555-4304
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Omaha Percentiles
NPI #1285862151 • CBSA Regional • Internal Medicine
Dr. Lauren Nelson, MD (NPI #1285862151) practices Internal Medicine in Omaha, NE (68118) with sub-specialty concentration in 33 Active CMS HCPCS Codes, recording 1,109 annual CMS services across 82 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (24.69th Omaha percentile) (-0.47σ vs NE state mean, 24.24th statewide percentile).
Fee-schedule auditing of NPI 1285862151 highlights 236 annual claims for 99214 (24.69th Omaha percentile; $75–$103 self-pay corridor) plus 137 encounters under 99213 and 68 under 93000.
Self-pay new patient consultations with Dr. Nelson (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.40/5 modern protocol openness score across 11 patient logs.
NPI registry verification (#1285862151) confirms Dr. Lauren Nelson's MD standing serving CBSA 68118 with a 4.60/5 patient scorecard.
Compared against Omaha, NE Internal Medicine peers
1,109 annual services across 82 beneficiaries
Standard deviations from NE Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 236 | 24.69th | $75 – $103 |
| 99213 | Established Preventive & Chronic Care Visit | 137 | 19.69th | $58 – $79 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 68 | 22.69th | $27 – $42 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 53 | 27.69th | $88 – $121 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 32 | 19.69th | $105 – $143 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 584 | 24.69th | $68 – $99 |
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Dr. Lauren Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1285862151 (MD) | CMS NPPES Registry (68118) |
| Dr. Nelson Omaha CMS Volume Rank | 24.69th Pct (1,109 CMS svcs; Z -0.465σ) | CMS Medicare Part B (NE Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Omaha, NE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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