Nelson, Joshua

Nelson, Joshua was paid $16K by Medicaid between Oct 2020 and Jan 2022, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 83% of everything it billed.

33Billing provider infoNELSON, JOSHUA
PHILADELPHIA, PA 19140

33aNPI1245558337assigned 05/13/2010

33bProvider typeSurgical Critical Care Physician

28Total paid$16K

24GClaims195

24DCodes billed5

24AFirst – last monthOct 2020 – Jan 2022

Compared with peers

Next to other Surgical Critical Care Physician providers in Pennsylvania

Rank by total paid#6 of 17

Median peer was paid$2K

This provider vs. median7.5×

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
2020	24	$445.99
2021	158	$15K
2022	13	$515.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	83%	102	34	$14K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	11%	39	37	$2K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	3.7%	14	13	$600.00
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.2%	12	12	$353.50
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	28	26	$103.24

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.