Nelson, Peggy

Nelson, Peggy was paid $153K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoNELSON, PEGGY
MIDDLETOWN, NY 10941

33aNPI1013000629assigned 10/02/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$153K

24GClaims3,030

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York

Rank by total paid#51 of 344

Median peer was paid$9K

This provider vs. median17×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	203	$8K
2019	539	$21K
2020	471	$26K
2021	520	$33K
2022	609	$39K
2023	370	$15K
2024incomplete	318	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	86%	2,171	2,147	$132K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	385	380	$19K
84443	Thyroid stimulating hormone (TSH)	<1%	77	77	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	108	108	$1K
36415	Collection of venous blood by venipuncture	<1%	248	242	$201.70
80061	Lipid panel	<1%	12	12	$158.28
80053	Comprehensive metabolic panel	<1%	15	15	$156.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	14	14	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.