Physician
Nelson, David
Nelson, David was paid $335K by Medicaid between Jul 2021 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoNELSON, DAVID
GETTYSBURG, PA 17325
GETTYSBURG, PA 17325
33aNPI1588656334assigned 08/18/2005
33bProvider typePediatrics Physician
28Total paid$335K
24GClaims9,208
24DCodes billed26
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#263 of 1,257
Median peer was paid$45K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2021 | 98 | $6K | |
| 2022 | 1,187 | $48K | |
| 2023 | 4,568 | $160K | |
| 2024incomplete | 3,355 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 2,428 | 2,286 | $100K |
| 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 | 16% | 844 | 803 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 457 | 457 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 355 | 354 | $41K |
| 87631 | 10% | 230 | 228 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.8% | 318 | 316 | $33K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 809 | 799 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 59 | 58 | $6K |
| 99173 | 1.1% | 1,083 | 1,076 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 502 | 495 | $2K |
| 99188 | <1% | 105 | 104 | $2K | |
| 92552 | <1% | 467 | 464 | $2K |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $1K |
| 90686 | <1% | 152 | $840.00 | |
| 90670 | <1% | 37 | $735.00 | |
| 96127 | <1% | 452 | $352.84 | |
| 92551 | <1% | 197 | $243.66 | |
| 83718 | <1% | 26 | $151.65 | |
| 90633 | <1% | 12 | $137.50 | |
| 82465 | <1% | 26 | $130.15 | |
| 96160 | <1% | 447 | $89.81 | |
| 96161 | 0% | 13 | $0.00 | |
| 90651 | 0% | 37 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| 90656 | 0% | 77 | $0.00 | |
| 80061 | Lipid panel | 0% | 12 | $0.00 |
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.