Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Nelsestuen, Michael

Nelsestuen, Michael was paid $26K by Medicaid between Aug 2020 and Apr 2023, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 62% of everything it billed.

33Billing provider infoNELSESTUEN, MICHAEL
WATERLOO, IA 50703
33aNPI1841649233assigned 06/07/2016
28Total paid$26K
24GClaims484
24DCodes billed2
24AFirst – last monthAug 2020 – Apr 2023
Compared with peers

Next to other Family Nurse Practitioner providers in Iowa

Rank by total paid#54 of 144
Median peer was paid$15K
This provider vs. median1.8×

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$4.0K2018201920202021202220232024
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
202012$552.75
2021160$9K
2022258$13K
202354$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 62% 348 329 $16K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 38% 136 130 $10K

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.