Nelson, Shirley

Nelson, Shirley was paid $69K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoNELSON, SHIRLEY
NANUET, NY 10954

33aNPI1871654897assigned 12/13/2006

33bProvider typeInternal Medicine Physician

28Total paid$69K

24GClaims2,509

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,495 of 6,049

Median peer was paid$11K

This provider vs. median6.1×

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

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	297	$2K
2019	458	$6K
2020	537	$8K
2022	161	$9K
2023	804	$31K
2024incomplete	252	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	462	428	$38K
99335		20%	1,246	1,127	$14K
99348		18%	568	481	$13K
99349		2.2%	48	41	$1K
99326		1.6%	31	31	$1K
99345	Prolong home eval add 15m	1.5%	23	23	$1K
99336		<1%	30	29	$315.25
99334		<1%	34	30	$286.17
99327		<1%	12	12	$278.36
36415	Collection of venous blood by venipuncture	<1%	55	52	$126.11

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.