Nelson, Julian

Nelson, Julian was paid $373K by Medicaid between Jan 2018 and Jul 2022, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoNELSON, JULIAN
POUGHKEEPSIE, NY 12603

33aNPI1609863364assigned 09/28/2005

33bProvider typePediatrics Physician

28Total paid$373K

24GClaims5,959

24DCodes billed23

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#478 of 1,983

Median peer was paid$17K

This provider vs. median22×

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	269	$20K
2019	1,240	$64K
2020	1,522	$89K
2021	2,018	$141K
2022	910	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	1,124	1,028	$130K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,174	1,110	$103K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.2%	234	234	$27K
90460	Immunization administration through 18 years of age via any route, first or only component	6.7%	1,213	1,193	$25K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	6.6%	192	190	$25K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.0%	150	150	$19K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.8%	155	155	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.5%	221	215	$13K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.8%	65	64	$7K
S9083	Global fee urgent care centers	<1%	13	12	$2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	19	19	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	39	38	$1K

11 more codes

96127		<1%	169	$913.54
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	19	$425.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	27	$317.92
92551		<1%	605	$317.23
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	17	$268.23
87070		<1%	13	$112.06
85018		<1%	26	$62.74
90686		<1%	315	$52.89
96160		<1%	87	$6.55
99173		<1%	55	$3.17
36416		0%	27	$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.