Nelson, Leonard

Nelson, Leonard was paid $10K by Medicaid between Mar 2021 and Aug 2022, across 4 billing codes. Its largest line is 92060, — 69% of everything it billed.

33Billing provider infoNELSON, LEONARD
BALA CYNWYD, PA 19004

33aNPI1093789679assigned 02/13/2006

33bProvider typeOphthalmology Physician

28Total paid$10K

24GClaims395

24DCodes billed4

24AFirst – last monthMar 2021 – Aug 2022

Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#132 of 288

Median peer was paid$7K

This provider vs. median1.5×

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
2021	296	$7K
2022	99	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		69%	291	281	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	78	76	$2K
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	7.1%	14	14	$741.57
92015	Determination of refractive state	<1%	12	12	$32.40

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.