Nelken, Robert

Nelken, Robert was paid $11K by Medicaid between Jan 2018 and Nov 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoNELKEN, ROBERT
ANDOVER, MA 01810

33aNPI1710985882assigned 07/12/2005

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims190

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#819 of 1,273

Median peer was paid$24K

This provider vs. median0.4×

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
2018	96	$7K
2019	25	$1K
2020	56	$2K
2022	13	$759.33

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	93%	151	143	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	7.5%	39	39	$797.55

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.