Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AK › Anchorage › NPI 1093379315
Physician

Austin T. Nelson, MD, P.C.

Austin T. Nelson, MD, P.C. was paid $38K by Medicaid between Aug 2019 and Mar 2024, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 29% of everything it billed.

33Billing provider infoAUSTIN T. NELSON, MD, P.C.
ANCHORAGE, AK 99508
33aNPI1093379315assigned 04/23/2019
28Total paid$38K
24GClaims445
24DCodes billed6
24AFirst – last monthAug 2019 – Mar 2024
Compared with peers

Next to other Gastroenterology Physician providers in Alaska

Rank by total paid#3 of 9
Median peer was paid$14K
This provider vs. median2.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
201958$4K
202094$8K
2021155$11K
202269$6K
202355$7K
2024incomplete14$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29% 44 39 $11K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 140 123 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 78 55 $7K
99152 14% 127 109 $5K
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 11% 29 25 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.8% 27 14 $1K

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.

From NPPES

Who's on the registration

Authorized officialNELSON, AUSTIN (PRESIDENT)