Tamala, Nelson

Tamala, Nelson was paid $937K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 62% of everything it billed.

33Billing provider infoTAMALA, NELSON
CHICAGO RIDGE, IL 60415

33aNPI1043762453assigned 11/02/2016

33bProvider typeFamily Health Clinical Nurse Specialist

28Total paid$937K

24GClaims35,722

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Health Clinical Nurse Specialist providers in Illinois

Rank by total paid#1 of 5

Median peer was paid$54K

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	2,819	$10K
2019	3,613	$34K
2020	7,195	$175K
2021	6,335	$177K
2022	5,159	$141K
2023	5,116	$160K
2024incomplete	5,485	$240K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	62%	25,063	23,372	$583K
90792	Psychiatric diagnostic evaluation with medical services	20%	2,180	2,121	$189K
99308	Subsequent nursing facility care, per day, straightforward	17%	8,436	7,964	$162K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	23	23	$997.91
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	20	20	$949.36

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.