Dr. Andrew Nelson, MD
1594 Route 9, Unit 6, Toms River, NJ 08755 • +1-636-555-4788
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Toms River Percentiles
NPI #1497751242 • CBSA Regional • Sports Medicine
Anchored in Toms River, NJ 08755, Dr. Andrew Nelson, MD (NPI 1497751242) logged 3,398 annual procedures (top-decile high-throughput specialist (99th percentile in Toms River), 38.64th NJ percentile, -0.48σ) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Dr. Nelson's longitudinal care intensity (8.6 billed units per patient across 396 individuals) centers on 99214 (731 annual units) and 99213 ($64–$88 cash range).
For out-of-network patients contacting +1-636-555-4788, Dr. Nelson's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.55/5 composite reality score over 14 submissions).
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Nelson coordinates 43 Active CMS HCPCS Codes workups from 1594 Route 9, Unit 6 (+1-636-555-4788).
Top 10% Sports Medicine volume leader in Toms River, NJ
3,398 annual services across 396 beneficiaries
Standard deviations from NJ Sports 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 | 731 | 99th | $84 – $115 |
| 99213 | Established Preventive & Chronic Care Visit | 423 | 98th | $64 – $88 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 211 | 99.5th | $31 – $46 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 163 | 94th | $98 – $135 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 98 | 98th | $116 – $159 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 1,773 | 99th | $75 – $109 |
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Dr. Andrew Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1497751242 (MD) | CMS NPPES Registry (08755) |
| Dr. Nelson Toms River CMS Volume Rank | 99.00th Pct (3,398 CMS svcs; Z -0.483σ) | CMS Medicare Part B (NJ Sports Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toms River, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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