Physician
Nelson Cox, Krista
Nelson Cox, Krista was paid $723K by Medicaid between Jan 2018 and Jul 2020, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoNELSON COX, KRISTA
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
33aNPI1396733002assigned 10/07/2005
33bProvider typePediatrics Physician
28Total paid$723K
24GClaims25,307
24DCodes billed37
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#53 of 992
Median peer was paid$40K
This provider vs. median18×
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 | 9,488 | $266K | |
| 2019 | 10,661 | $304K | |
| 2020 | 5,158 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 2,181 | 2,064 | $126K |
| 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% | 2,749 | 2,578 | $104K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 1,103 | 1,069 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,089 | 1,074 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 1,052 | 1,032 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.6% | 846 | 830 | $55K |
| 92551 | 7.1% | 1,769 | 1,733 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 1,676 | 1,608 | $44K |
| 92587 | 2.8% | 725 | 694 | $20K | |
| 90723 | 2.7% | 761 | 750 | $19K | |
| 94010 | 1.4% | 515 | 493 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 562 | 552 | $9K |
25 more codes
| 83655 | 1.1% | 670 | $8K | |
| 95012 | 1.1% | 683 | $8K | |
| 90686 | 1.0% | 1,398 | $8K | |
| 90648 | <1% | 1,002 | $6K | |
| 90670 | <1% | 961 | $6K | |
| 94664 | <1% | 423 | $6K | |
| 90707 | <1% | 243 | $4K | |
| 90651 | <1% | 608 | $3K | |
| 99381 | <1% | 36 | $2K | |
| 90633 | <1% | 392 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 459 | $2K |
| 81003 | <1% | 1,044 | $2K | |
| 99460 | <1% | 29 | $2K | |
| 90734 | <1% | 292 | $2K | |
| 85018 | <1% | 755 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 171 | $2K |
| 90681 | <1% | 303 | $2K | |
| 90716 | <1% | 273 | $2K | |
| 90715 | <1% | 74 | $1K | |
| 90620 | <1% | 160 | $929.36 | |
| 90696 | <1% | 33 | $695.80 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $527.48 |
| 90700 | <1% | 28 | $463.89 | |
| 81025 | <1% | 52 | $372.84 | |
| 99173 | <1% | 178 | $324.45 |
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.