Physician
Nielson, Craig
Nielson, Craig was paid $36K by Medicaid between Jan 2018 and Aug 2021, across 12 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 52% of everything it billed.
33Billing provider infoNIELSON, CRAIG
CEDAR CITY, UT 84721
CEDAR CITY, UT 84721
33aNPI1316063084assigned 03/22/2007
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims1,065
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#114 of 299
Median peer was paid$16K
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 | 589 | $25K | |
| 2019 | 187 | $5K | |
| 2020 | 159 | $3K | |
| 2021 | 130 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 52% | 200 | 178 | $19K |
| 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% | 88 | 82 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 89 | 86 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 14 | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 226 | 223 | $989.73 |
| 90670 | 1.4% | 88 | 86 | $506.67 | |
| 90686 | 1.2% | 51 | 51 | $445.61 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 199 | 197 | $201.92 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | 16 | $0.00 |
| 90648 | 0% | 14 | 14 | $0.00 | |
| 90723 | 0% | 55 | 54 | $0.00 | |
| 90647 | 0% | 25 | 24 | $0.00 |
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.