Physician
Nilson, Wendell
Nilson, Wendell was paid $380K by Medicaid between Jan 2018 and Mar 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoNILSON, WENDELL
SAINT GEORGE, UT 84790
SAINT GEORGE, UT 84790
33aNPI1205883576assigned 05/30/2006
33bProvider typePediatrics Physician
28Total paid$380K
24GClaims10,851
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#20 of 299
Median peer was paid$16K
This provider vs. median23×
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 | 2,511 | $96K | |
| 2019 | 2,548 | $89K | |
| 2020 | 1,536 | $54K | |
| 2021 | 1,777 | $58K | |
| 2022 | 2,022 | $71K | |
| 2023 | 283 | $7K | |
| 2024incomplete | 174 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 3,434 | 2,724 | $227K |
| 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 | 30% | 1,216 | 1,008 | $113K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 187 | 181 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 591 | 541 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 39 | 39 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 38 | 37 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,018 | 844 | $3K |
| 81002 | <1% | 1,918 | 1,629 | $823.84 | |
| 85014 | <1% | 1,686 | 1,544 | $806.99 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 178 | 167 | $481.72 |
| 87077 | <1% | 39 | 38 | $60.54 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | 25 | $29.40 |
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.