Dr. Todd Nelson, MD
248 Mchenry St, Burlington, WI 53105 • +1-923-555-2149
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Burlington Percentiles
NPI #1457562126 • CBSA Regional • Family Practice
Anchored in Burlington, WI 53105, Dr. Todd Nelson, MD (NPI 1457562126) logged 4,058 annual procedures (upper-quartile active clinical volume (66.67th Burlington percentile), 91.8th WI percentile, +0.66σ) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Nelson (averaging 10.4 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 40% of tracked volume (1641 encounters), paired with 99213 (1211x).
Self-pay new patient consultations with Dr. Nelson (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.91/5 modern protocol openness score across 3 patient logs.
Patients evaluating Dr. Todd Nelson in ZIP 53105 note 16 years of post-doctoral tenure (null, 2010) alongside 10.4 annual CMS procedures per patient.
Compared against Burlington, WI Family Practice peers
4,058 annual services across 390 beneficiaries
Standard deviations from WI Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,641 | 66.67th | $55 – $76 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,211 | 62.67th | $42 – $58 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 469 | 70.67th | $63 – $87 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 352 | 69.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 234 | 65.67th | $76 – $104 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 150 | 66.67th | $50 – $73 |
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Dr. Todd Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1457562126 (MD) | CMS NPPES Registry (53105) |
| Dr. Nelson Burlington CMS Volume Rank | 66.67th Pct (4,058 CMS svcs; Z +0.655σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burlington, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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