Nadelson, Elliot

Nadelson, Elliot was paid $227K by Medicaid between Jan 2018 and May 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoNADELSON, ELLIOT
NEW YORK, NY 10018

33aNPI1417965146assigned 08/05/2006

33bProvider typeGeneral Practice Physician

28Total paid$227K

24GClaims6,719

24DCodes billed26

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#51 of 178

Median peer was paid$27K

This provider vs. median8.5×

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	628	$22K
2019	655	$26K
2020	545	$24K
2021	1,322	$40K
2022	1,957	$67K
2023	1,144	$34K
2024incomplete	468	$14K

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	70%	1,819	1,337	$159K
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	11%	193	192	$25K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	350	295	$24K
81000		1.5%	1,205	808	$3K
87081		1.4%	898	814	$3K
99205	Prolong outpt/office vis	<1%	12	12	$2K
99442		<1%	28	27	$2K
81003		<1%	1,513	1,154	$2K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	25	21	$2K
84403		<1%	69	66	$893.21
87481		<1%	17	15	$684.99
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	116	101	$677.52

14 more codes

87563		<1%	17	$442.11
87556		<1%	17	$379.32
87640		<1%	17	$332.98
87653		<1%	17	$292.03
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	17	$292.03
36415	Collection of venous blood by venipuncture	<1%	235	$267.99
84146		<1%	26	$259.13
83001		<1%	26	$248.45
83002		<1%	26	$247.48
80053	Comprehensive metabolic panel	<1%	25	$136.50
84153		<1%	12	$127.58
51741		<1%	13	$110.19
51798		<1%	13	$94.13
99401		<1%	13	$81.92

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.