Nielsen, James

Nielsen, James was paid $3K by Medicaid between Apr 2018 and Sep 2024, across 4 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 47% of everything it billed.

33Billing provider infoNIELSEN, JAMES
EAST SETAUKET, NY 11733

33aNPI1669432266assigned 03/27/2006

33bProvider typePediatrics Physician

28Total paid$3K

24GClaims555

24DCodes billed4

24AFirst – last monthApr 2018 – Sep 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,342 of 1,983

Median peer was paid$17K

This provider vs. median0.2×

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	63	$1K
2019	47	$170.03
2020	55	$139.54
2021	92	$226.52
2022	53	$126.24
2023	152	$1K
2024incomplete	93	$204.63

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	47%	33	31	$1K
93325		39%	474	404	$1K
93320		12%	35	33	$374.75
93321		1.7%	13	12	$53.28

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.