Nelson, Jonathan
Nelson, Jonathan was paid $148K by Medicaid between Jan 2018 and Feb 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoNELSON, JONATHAN
RYE, NY 10580
RYE, NY 10580
33aNPI1881618304assigned 07/27/2006
33bProvider typeSpecialist
28Total paid$148K
24GClaims3,573
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#415 of 1,221
Median peer was paid$45K
This provider vs. median3.3×
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 | 1,147 | $49K | |
| 2019 | 887 | $35K | |
| 2020 | 785 | $25K | |
| 2021 | 712 | $35K | |
| 2022 | 28 | $3K | |
| 2023 | 14 | $1K |
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 | 47% | 1,104 | 986 | $70K |
| 11901 | 22% | 720 | 572 | $33K | |
| 10040 | 12% | 208 | 162 | $18K | |
| 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 | 8.6% | 125 | 118 | $13K |
| 10061 | 3.9% | 34 | 28 | $6K | |
| 11900 | 2.4% | 115 | 99 | $4K | |
| J3303 | Injection, triamcinolone hexacetonide, per 5 mg | 2.3% | 1,033 | 793 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 43 | 39 | $2K |
| 99072 | <1% | 191 | 130 | $65.08 |
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.