Dr. James Nelson , M.D.
Extreme OutlierHigher Out-of-Pocket Billing Risk
This practice submits charges that average 11.8 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.
- Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
- Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
- Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
Balanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Nelson primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
⚠️ Price Outlier Warning: Dr. Nelson's submitted charges are significantly higher than peer medians (over 11.76x the baseline standard). If you receive treatment out-of-network or without insurance, you could face substantial bills. Confirm in-network participation with your health plan prior to booking.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
CPT 93306 | 156 | $829.00 | $355.34 | $67.43 | 2.33x |
CPT 36620 | 49 | $920.00 | $334.67 | $43.75 | 2.75x |
CPT 93356 | 42 | $400.00 | $103.00 | $11.34 | 3.88x |
CPT 93325 | 41 | $254.00 | $31.99 | $3.03 | 7.94x |
CPT 76937 | 40 | $158.00 | $72.72 | $13.89 | 2.17x |
CPT 36556 | 31 | $1230.00 | $553.86 | $82.51 | 2.22x |
CPT 93321 | 31 | $323.00 | $30.09 | $7.02 | 10.73x |
CPT 93308 | 30 | $350.00 | $103.00 | $24.47 | 3.4x |
Other Anesthesiology Doctors in Minnesota
Explore peer practitioners in the same state
👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: N/A. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 11.76x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Nelson participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.