Clinic
Brian Nelson MD PLLC
Brian Nelson MD PLLC was paid $19K by Medicaid between Dec 2022 and May 2023, across 9 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 22% of everything it billed.
33Billing provider infoBRIAN NELSON MD PLLC
CLEBURNE, TX 76033
CLEBURNE, TX 76033
33aNPI1629630249assigned 07/03/2019
33bProvider typePrimary Care Clinic/Center
28Total paid$19K
24GClaims784
24DCodes billed9
24AFirst – last monthDec 2022 – May 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#99 of 180
Median peer was paid$25K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 13 | $478.25 | |
| 2023 | 771 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 22% | 107 | 101 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 39 | 39 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 103 | 90 | $3K |
| 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 | 12% | 58 | 55 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 176 | 83 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 33 | 31 | $2K |
| 99000 | 7.4% | 153 | 140 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.1% | 100 | 96 | $1K |
| 81002 | <1% | 15 | 14 | $38.78 |
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.
From NPPES
Who's on the registration
Authorized officialNELSON, BRIAN (MD/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Teen Challenge International Pacific Northwest Centers | Milwaukie, OR | $12.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.