NP / PA
Nelson, Gina
Nelson, Gina was paid $4K by Medicaid between Jan 2018 and Apr 2019, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoNELSON, GINA
O FALLON, MO 63368
O FALLON, MO 63368
33aNPI1457492928assigned 02/09/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$4K
24GClaims72
24DCodes billed2
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Missouri
Rank by total paid#153 of 212
Median peer was paid$13K
This provider vs. median0.3×
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 | 31 | $2K | |
| 2019 | 41 | $2K |
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 | 52% | 29 | 28 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 43 | 42 | $2K |
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.