Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nelson, Edward L

Nelson, Edward L was paid $29K by Medicaid between Jun 2018 and Jan 2023, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 76% of everything it billed.

33Billing provider infoNELSON, EDWARD L
ORANGE, CA 92868
33aNPI1780764951assigned 10/16/2006
28Total paid$29K
24GClaims365
24DCodes billed2
24AFirst – last monthJun 2018 – Jan 2023
Compared with peers

Next to other Hematology & Oncology Physician providers in California

Rank by total paid#89 of 180
Median peer was paid$26K
This provider vs. median1.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201895$5K
201961$5K
2020160$15K
202234$3K
202315$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 76% 243 124 $22K
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 24% 122 56 $7K

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.