Nelson, Senora

Nelson, Senora was paid $97K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoNELSON, SENORA
SOUTH HOLLAND, IL 60473

33aNPI1093855835assigned 02/08/2007

33bProvider typeGeneral Practice Physician

28Total paid$97K

24GClaims1,965

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Illinois

Rank by total paid#21 of 74

Median peer was paid$24K

This provider vs. median4.0×

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	406	$17K
2019	273	$13K
2020	348	$20K
2021	282	$11K
2022	311	$16K
2023	184	$9K
2024incomplete	161	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	97%	1,712	1,479	$94K
90686		1.3%	67	39	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	38	34	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	60	53	$479.91
80053	Comprehensive metabolic panel	<1%	39	36	$368.41
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	13	13	$72.44
80061	Lipid panel	<1%	12	12	$69.95
36415	Collection of venous blood by venipuncture	<1%	12	12	$38.70
81001		<1%	12	12	$29.08

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.