Nelson, Duane
Nelson, Duane was paid $5K by Medicaid between Apr 2018 and Oct 2020, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.
33Billing provider infoNELSON, DUANE
PROVO, UT 84604
PROVO, UT 84604
33aNPI1841296498assigned 06/27/2005
33bProvider typeSpecialist
28Total paid$5K
24GClaims229
24DCodes billed3
24AFirst – last monthApr 2018 – Oct 2020
Compared with peers
Next to other Specialist providers in Utah
Rank by total paid#25 of 39
Median peer was paid$25K
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 | 25 | $0.00 | |
| 2019 | 145 | $5K | |
| 2020 | 59 | $327.89 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 45% | 27 | 27 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 37% | 27 | 27 | $2K |
| 92015 | Determination of refractive state | 19% | 175 | 174 | $1K |
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.