Nelsen, David

Nelsen, David was paid $6K by Medicaid between Nov 2022 and Oct 2024, across 4 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 65% of everything it billed.

33Billing provider infoNELSEN, DAVID
JANESVILLE, WI 53546

33aNPI1417184169assigned 06/19/2009

33bProvider typeDermatology Physician

28Total paid$6K

24GClaims207

24DCodes billed4

24AFirst – last monthNov 2022 – Oct 2024

Compared with peers

Next to other Dermatology Physician providers in Wisconsin

Rank by total paid#5 of 21

Median peer was paid$3K

This provider vs. median2.0×

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	14	$452.00
2023	125	$4K
2024incomplete	68	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	65%	155	141	$4K
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%	23	23	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.3%	13	13	$549.82
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.9%	16	16	$471.34

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.