Nesselroad, James

Nesselroad, James was paid $13K by Medicaid between May 2018 and May 2023, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.

33Billing provider infoNESSELROAD, JAMES
GALESBURG, IL 61401

33aNPI1164521928assigned 09/21/2006

33bProvider typeFamily Medicine Physician

28Total paid$13K

24GClaims351

24DCodes billed4

24AFirst – last monthMay 2018 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#2,016 of 2,947

Median peer was paid$43K

This provider vs. median0.3×

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	49	$2K
2019	29	$834.92
2020	121	$3K
2021	81	$5K
2022	57	$3K
2023	14	$568.49

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	50%	123	42	$7K
99238	Hospital discharge day management, 30 minutes or less	35%	157	139	$5K
99460		11%	38	37	$1K
99462		3.6%	33	13	$475.60

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.