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
NORTH BEND, OR 97459
33aNPI1467976217assigned 08/02/2017
33bProvider typeAddiction (Substance Use Disorder) Counselor
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
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 | 805 | $3.58 | |
| 2019 | 17 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.