Nelson, John

Nelson, John was paid $235K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoNELSON, JOHN
MCMINNVILLE, OR 97128

33aNPI1194718221assigned 08/24/2005

33bProvider typeFamily Medicine Physician

28Total paid$235K

24GClaims2,424

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Oregon

Rank by total paid#56 of 208

Median peer was paid$49K

This provider vs. median4.8×

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	314	$29K
2019	348	$30K
2020	350	$33K
2021	297	$29K
2022	394	$37K
2023	400	$42K
2024incomplete	321	$35K

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%	2,260	1,998	$227K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.3%	113	108	$8K
36415	Collection of venous blood by venipuncture	<1%	51	49	$119.10

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.