Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Richard L. Nelson, O.D. P.L.C.

Richard L. Nelson, O.D. P.L.C. was paid $50K by Medicaid between Sep 2019 and Sep 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 79% of everything it billed.

33Billing provider infoRICHARD L. NELSON, O.D. P.L.C.
INDIANOLA, IA 50125
33aNPI1235260340assigned 03/08/2007
28Total paid$50K
24GClaims1,147
24DCodes billed2
24AFirst – last monthSep 2019 – Sep 2024
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Iowa

Rank by total paid#9 of 10
Median peer was paid$181K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019190$12K
2020239$12K
2021359$16K
2022211$7K
2023120$4K
2024incomplete28$421.40
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 79% 426 421 $40K
92015 Determination of refractive state 21% 721 710 $11K

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, RICHARD (PRESIDENT)
Same official

Other billing entities under NELSON, RICHARD

Full network →
ProviderLocationPaid
ARC Primary Care, LLC.Edinburg, TX$42.34M
Eon, INC.New Ulm, MN$31.55M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.