Nelson, Kelly

Nelson, Kelly was paid $46K by Medicaid between Jan 2018 and Nov 2018, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoNELSON, KELLY
ROANOKE, VA 24013

33aNPI1821081241assigned 08/31/2005

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$46K

24GClaims853

24DCodes billed13

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Virginia

Rank by total paid#14 of 30

Median peer was paid$29K

This provider vs. median1.6×

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	853	$46K

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	61%	493	460	$28K
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	19%	103	101	$9K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.6%	37	37	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.5%	27	27	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	17	17	$1K
90670		1.6%	24	24	$744.10
90698		1.2%	24	24	$524.95
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	34	17	$493.32
90686		1.0%	36	36	$465.39
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	15	$261.90
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	15	14	$217.56
90685		<1%	16	16	$189.73

1 more codes

99173

<1%

$31.08

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.