Physician
Nelson, Sidney
Nelson, Sidney was paid $63K by Medicaid between Sep 2018 and Mar 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoNELSON, SIDNEY
PIKESVILLE, MD 21208
PIKESVILLE, MD 21208
33aNPI1033152541assigned 06/13/2006
33bProvider typeHospitalist Physician
28Total paid$63K
24GClaims518
24DCodes billed6
24AFirst – last monthSep 2018 – Mar 2023
Compared with peers
Next to other Hospitalist Physician providers in Maryland
Rank by total paid#28 of 39
Median peer was paid$247K
This provider vs. median0.3×
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 | 13 | $2K | |
| 2019 | 172 | $21K | |
| 2022 | 195 | $22K | |
| 2023 | 138 | $18K |
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 | 58% | 332 | 289 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 20% | 88 | 78 | $13K |
| 99205 | Prolong outpt/office vis | 7.8% | 31 | 30 | $5K |
| 99223 | Prolong inpt eval add15 m | 6.3% | 22 | 18 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 33 | 30 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 12 | 12 | $2K |
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.