Matthew K. Nelson MD

Matthew K. Nelson MD was paid $3.33M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 20610, — 23% of everything it billed.

33Billing provider infoMATTHEW K. NELSON MD
BECKLEY, WV 25801

33aNPI1407106339assigned 09/18/2012

33bProvider typeOrthopaedic Surgery Physician

28Total paid$3.33M

24GClaims96,470

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in West Virginia

Rank by total paid#3 of 19

Median peer was paid$210K

This provider vs. median16×

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	14,158	$1.10M
2019	10,294	$454K
2020	12,432	$444K
2021	13,573	$353K
2022	14,636	$306K
2023	15,981	$333K
2024incomplete	15,396	$347K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20610		23%	24,223	14,437	$754K
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	19%	16,846	14,685	$648K
L1832	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	14%	1,276	843	$466K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	5,920	5,500	$337K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.4%	2,425	2,164	$212K
S0020	Injection, bupivicaine hydrochloride, 30 ml	5.6%	8,538	7,824	$187K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	5.5%	14,183	12,270	$182K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	5.2%	3,476	3,153	$172K
20553		4.4%	6,271	5,410	$146K
L0631	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	3.3%	220	214	$110K
J1030	Injection, methylprednisolone acetate, 40 mg	2.9%	5,707	5,203	$95K
20605		<1%	723	526	$16K

6 more codes

1006F		<1%	111	$3K
99203	Doctor's office visit, new patient (routine)	<1%	30	$2K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	<1%	23	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	2,533	$752.45
20600		<1%	31	$528.09
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	<1%	3,934	$12.46

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 officialNELSON, MATTHEW (OWNER)