Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Stephen G. Nelson, M.D., PA

Stephen G. Nelson, M.D., PA was paid $2.80M by Medicaid between Jan 2019 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoSTEPHEN G. NELSON, M.D., PA
ST PETERSBURG, FL 33703
33aNPI1316152713assigned 05/11/2007
33bProvider typePediatrics Physician
28Total paid$2.80M
24GClaims67,763
24DCodes billed33
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#117 of 971
Median peer was paid$238K
This provider vs. median12×

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$50K$100K2018201920202021202220232024
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
20199,179$260K
202012,121$449K
202114,969$704K
202214,430$718K
202311,139$476K
2024incomplete5,925$191K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 12,354 11,497 $838K
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 22% 6,279 5,842 $619K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 3,592 3,512 $442K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 3,553 3,166 $372K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.0% 1,844 1,814 $197K
90460 Immunization administration through 18 years of age via any route, first or only component 5.7% 12,869 8,693 $161K
90461 2.3% 3,813 3,464 $64K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.2% 510 505 $61K
99188 <1% 2,033 1,950 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 567 486 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 329 325 $6K
90698 <1% 1,112 1,077 $5K
21 more codes
90686 <1% 1,808 $3K
96127 <1% 1,041 $1K
90670 <1% 1,041 $992.82
99050 <1% 35 $699.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 826 $436.21
96160 <1% 669 $404.33
36415 Collection of venous blood by venipuncture <1% 144 $215.00
83655 <1% 37 $117.28
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 100 $55.74
92551 <1% 5,898 $24.55
96161 <1% 40 $15.30
99173 <1% 6,604 $6.23
90734 0% 58 $0.00
90715 0% 24 $0.00
90633 0% 167 $0.00
90710 0% 12 $0.00
91311 0% 36 $0.00
90744 0% 130 $0.00
90680 0% 139 $0.00
90677 0% 29 $0.00
90651 0% 70 $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.

From NPPES

Who's on the registration

Authorized officialWEINBERGER, ALYSSA (PRESIDENT)