Physician
Jonathan L. Nelson, M.D., P.C.
Jonathan L. Nelson, M.D., P.C. was paid $8.76M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 10040, — 23% of everything it billed.
33Billing provider infoJONATHAN L. NELSON, M.D., P.C.
RYE, NY 10580
RYE, NY 10580
33aNPI1215096375assigned 12/06/2006
33bProvider typeDermatology Physician
28Total paid$8.76M
24GClaims110,957
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in New York
Rank by total paid#9 of 349
Median peer was paid$26K
This provider vs. median343×
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 | 11,798 | $884K | |
| 2019 | 14,348 | $1.06M | |
| 2020 | 16,245 | $1.21M | |
| 2021 | 17,465 | $1.50M | |
| 2022 | 18,892 | $1.62M | |
| 2023 | 16,765 | $1.32M | |
| 2024incomplete | 15,444 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 10040 | 23% | 16,823 | 13,820 | $2.06M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 22,422 | 20,315 | $1.91M |
| 10061 | 14% | 5,528 | 4,732 | $1.24M | |
| 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 | 9.0% | 6,348 | 6,059 | $786K |
| 11901 | 7.7% | 14,223 | 11,816 | $677K | |
| 17110 | 7.4% | 5,451 | 4,180 | $647K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 3,140 | 3,137 | $357K |
| 11900 | 2.9% | 6,982 | 6,383 | $255K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 3,795 | 3,135 | $187K |
| 10060 | 1.9% | 1,312 | 1,272 | $169K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 938 | 938 | $159K |
| 17111 | 1.6% | 986 | 714 | $138K |
10 more codes
| J3303 | Injection, triamcinolone hexacetonide, per 5 mg | <1% | 13,002 | $66K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 501 | $40K |
| 11102 | <1% | 229 | $23K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 9,033 | $18K |
| 11100 | <1% | 132 | $15K | |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | <1% | 38 | $14K |
| 96567 | <1% | 12 | $2K | |
| 11300 | <1% | 13 | $1K | |
| 11103 | <1% | 20 | $1K | |
| 99072 | <1% | 29 | $73.00 |
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.
From NPPES
Who's on the registration
Authorized officialNELSON, JONATHAN (PRESIDENT)