Nystuen, Leslie

Nystuen, Leslie was paid $53K by Medicaid between Mar 2018 and Mar 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoNYSTUEN, LESLIE
MELROSE, MA 02176

33aNPI1295847325assigned 08/31/2006

33bProvider typePediatrics Physician

28Total paid$53K

24GClaims1,708

24DCodes billed8

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#484 of 1,273

Median peer was paid$24K

This provider vs. median2.2×

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	226	$6K
2019	277	$9K
2020	244	$6K
2021	423	$11K
2022	430	$16K
2023	108	$4K

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	32%	290	278	$17K
90460	Immunization administration through 18 years of age via any route, first or only component	26%	421	392	$14K
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	24%	116	109	$13K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	9.7%	566	566	$5K
96127		3.9%	198	197	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.2%	13	13	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	92	92	$944.84
0071A		1.0%	12	12	$550.56

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.