Nelson, Karen

Nelson, Karen was paid $146K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 0502F, — 45% of everything it billed.

33Billing provider infoNELSON, KAREN
TACOMA, WA 98405

33aNPI1043352677assigned 02/12/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$146K

24GClaims2,309

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Washington

Rank by total paid#14 of 54

Median peer was paid$22K

This provider vs. median6.7×

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	37	$1K
2019	463	$17K
2020	467	$19K
2021	110	$6K
2022	221	$11K
2023	464	$37K
2024incomplete	547	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		45%	1,276	746	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	568	397	$47K
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	22%	361	280	$32K
59025	Fetal non-stress test	<1%	104	76	$782.10

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.