Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MT › Kalispell › NPI 1477683159
Physician

Nelson, Gina

Nelson, Gina was paid $18K by Medicaid between Dec 2020 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoNELSON, GINA
KALISPELL, MT 59901
33aNPI1477683159assigned 03/06/2007
28Total paid$18K
24GClaims575
24DCodes billed4
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Montana

Rank by total paid#7 of 11
Median peer was paid$57K
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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202019$2K
202174$2K
2022229$4K
2023223$10K
2024incomplete30$238.41
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71% 143 112 $13K
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 20% 32 24 $4K
36415 Collection of venous blood by venipuncture 8.2% 330 285 $1K
81002 <1% 70 56 $167.04

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.