Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Sedalia › NPI 1447356134

Nelson, Benjamin

Nelson, Benjamin was paid $13K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 59% of everything it billed.

33Billing provider infoNELSON, BENJAMIN
SEDALIA, MO 65301
33aNPI1447356134assigned 09/16/2006
33bProvider typeOptometrist
28Total paid$13K
24GClaims1,950
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#307 of 547
Median peer was paid$19K
This provider vs. median0.7×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
20181,020$6K
2019736$6K
2020194$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 59% 974 965 $8K
S0621 Routine ophthalmological examination including refraction; established patient 41% 976 966 $5K

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.