Nelson, Martine

Nelson, Martine was paid $16K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoNELSON, MARTINE
LISLE, IL 60532

33aNPI1669561478assigned 10/11/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$16K

24GClaims568

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Illinois

Rank by total paid#33 of 44

Median peer was paid$65K

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	52	$2K
2019	144	$4K
2020	149	$3K
2021	98	$2K
2022	69	$3K
2023	24	$1K
2024incomplete	32	$1K

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	44%	148	119	$7K
96110	Developmental screening, with scoring and documentation, per standardized instrument	32%	312	274	$5K
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	20%	41	37	$3K
90686		2.9%	48	32	$456.60
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.5%	19	18	$241.82

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.