NP / PA
Mcelwain, Chelsea
Mcelwain, Chelsea was paid $17K by Medicaid between Mar 2022 and Sep 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoMCELWAIN, CHELSEA
PITTSBURGH, PA 15220
PITTSBURGH, PA 15220
33aNPI1396268975assigned 07/25/2017
33bProvider typePediatric Nurse Practitioner
28Total paid$17K
24GClaims2,072
24DCodes billed10
24AFirst – last monthMar 2022 – Sep 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Pennsylvania
Rank by total paid#22 of 62
Median peer was paid$7K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2022 | 615 | $7K | |
| 2023 | 827 | $7K | |
| 2024incomplete | 630 | $3K |
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 | 87% | 440 | 423 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 26 | 26 | $2K |
| 3078F | 0% | 175 | 175 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 18 | 18 | $0.00 |
| 99173 | 0% | 13 | 13 | $0.00 | |
| 1111F | 0% | 941 | 906 | $0.00 | |
| 3074F | 0% | 190 | 190 | $0.00 | |
| 3008F | 0% | 200 | 199 | $0.00 | |
| 90686 | 0% | 56 | 55 | $0.00 | |
| 90688 | 0% | 13 | 13 | $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.