Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Nelson, April

Nelson, April was paid $3.58 by Medicaid between Jan 2018 and Jan 2019, across 3 billing codes. Its largest line is H0005, Alcohol and/or drug services; group counseling by a clinician — 65% of everything it billed.

33Billing provider infoNELSON, APRIL
NORTH BEND, OR 97459
33aNPI1467976217assigned 08/02/2017
28Total paid$3.58
24GClaims822
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Oregon

Rank by total paid#85 of 99
Median peer was paid$85K
This provider vs. median0.0×

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

$0$0$1$22018201920202021202220232024
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
2018805$3.58
201917$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0005 Alcohol and/or drug services; group counseling by a clinician 65% 576 213 $2.32
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 34% 134 86 $1.20
H0004 Behavioral health counseling and therapy, per 15 minutes 1.7% 112 75 $0.06

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.