Nelson, Erica

Nelson, Erica was paid $928K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 0502F, — 32% of everything it billed.

33Billing provider infoNELSON, ERICA
SPRINGFIELD, IL 62702

33aNPI1447231493assigned 11/08/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$928K

24GClaims14,935

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#27 of 911

Median peer was paid$41K

This provider vs. median23×

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	1,022	$61K
2019	2,423	$147K
2020	2,079	$143K
2021	2,979	$139K
2022	2,562	$114K
2023	2,401	$174K
2024incomplete	1,469	$151K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		32%	5,934	3,875	$301K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	2,511	1,693	$233K
76830	Ultrasound, transvaginal	19%	1,828	1,514	$174K
93976		3.6%	314	265	$33K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.5%	1,177	838	$33K
J1050	Injection, medroxyprogesterone acetate, 1 mg	3.4%	381	274	$32K
0500F		3.2%	556	448	$30K
59430		1.3%	93	74	$13K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	1.3%	13	13	$12K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.2%	219	172	$11K
90715		1.2%	332	217	$11K
59025	Fetal non-stress test	1.2%	345	253	$11K

12 more codes

99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	93	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	88	$6K
0503F		<1%	92	$6K
82951		<1%	329	$5K
81025		<1%	301	$3K
90686		<1%	138	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	16	$2K
H1000	Prenatal care, at-risk assessment	<1%	72	$1K
90756		<1%	42	$741.30
99283	Emergency room visit (moderate)	<1%	13	$639.08
99459		<1%	31	$429.86
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	17	$380.16

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.