Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nellsch, Verner

Nellsch, Verner was paid $353K by Medicaid between Jul 2020 and Feb 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoNELLSCH, VERNER
LIVINGSTON, TX 77351
33aNPI1881680353assigned 09/21/2005
33bProvider typeSpecialist
28Total paid$353K
24GClaims13,864
24DCodes billed14
24AFirst – last monthJul 2020 – Feb 2024
Compared with peers

Next to other Specialist providers in Texas

Rank by total paid#80 of 382
Median peer was paid$29K
This provider vs. median12×

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$10K$20K$30K2018201920202021202220232024
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
2020750$16K
20214,077$104K
20225,074$138K
20233,808$93K
2024incomplete155$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 5,187 2,617 $160K
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 14% 1,164 723 $50K
99236 Prolong inpt eval add15 m 14% 320 269 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.8% 986 857 $21K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5.6% 293 286 $20K
99000 2.9% 1,062 1,027 $10K
76801 2.8% 118 115 $10K
81002 2.6% 3,551 1,999 $9K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2.2% 15 15 $8K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 151 146 $7K
81025 1.2% 653 631 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 317 310 $3K
2 more codes
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 27 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 20 $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.