Nelson, Maureen
Nelson, Maureen was paid $135K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoNELSON, MAUREEN
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
33aNPI1245480540assigned 09/23/2008
33bProvider typeOptometrist
28Total paid$135K
24GClaims2,737
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#92 of 521
Median peer was paid$28K
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 | 1,353 | $48K | |
| 2019 | 380 | $14K | |
| 2020 | 223 | $16K | |
| 2021 | 278 | $20K | |
| 2022 | 256 | $18K | |
| 2023 | 183 | $14K | |
| 2024incomplete | 64 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 58% | 1,124 | 1,119 | $78K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 536 | 529 | $32K |
| V2020 | Frames, purchases | 11% | 614 | 595 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.6% | 200 | 193 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 176 | 174 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 87 | 84 | $786.55 |
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.