Nelson, Craig
Nelson, Craig was paid $389K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 81% of everything it billed.
33Billing provider infoNELSON, CRAIG
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1578707493assigned 04/22/2009
33bProvider typeOptometrist
28Total paid$389K
24GClaims4,389
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#112 of 425
Median peer was paid$49K
This provider vs. median7.9×
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 | 782 | $69K | |
| 2019 | 772 | $66K | |
| 2020 | 708 | $63K | |
| 2021 | 860 | $74K | |
| 2022 | 605 | $57K | |
| 2023 | 378 | $35K | |
| 2024incomplete | 284 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 81% | 3,583 | 3,457 | $314K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 806 | 793 | $75K |
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.