Nelson, Caleb

Nelson, Caleb was paid $15K by Medicaid between Apr 2019 and Jan 2023, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 95% of everything it billed.

33Billing provider infoNELSON, CALEB
BALTIMORE, MD 21287

33aNPI1487676003assigned 07/24/2006

33bProvider typeUrology Physician

28Total paid$15K

24GClaims162

24DCodes billed2

24AFirst – last monthApr 2019 – Jan 2023

Compared with peers

Next to other Urology Physician providers in Maryland

Rank by total paid#14 of 29

Median peer was paid$8K

This provider vs. median1.8×

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
2019	27	$2K
2020	40	$4K
2021	46	$4K
2022	37	$3K
2023	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	95%	150	150	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.0%	12	12	$739.40

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.