Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201813$2K
2019172$21K
2022195$22K
2023138$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.