Nelms, Lynn
Nelms, Lynn was paid $112K by Medicaid between Jan 2018 and Jul 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoNELMS, LYNN
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
33aNPI1881892503assigned 07/03/2007
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$112K
24GClaims2,598
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#12 of 102
Median peer was paid$7K
This provider vs. median17×
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 | 925 | $39K | |
| 2019 | 1,190 | $52K | |
| 2020 | 483 | $21K |
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 | 50% | 1,164 | 1,040 | $57K |
| 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% | 218 | 201 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 108 | 108 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 85 | 85 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 72 | 72 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.5% | 346 | 172 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 325 | 309 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 14 | 14 | $1K |
| 87807 | 1.0% | 71 | 70 | $1K | |
| 90686 | <1% | 153 | 151 | $1K | |
| 90698 | <1% | 13 | 13 | $438.72 | |
| 90670 | <1% | 29 | 29 | $200.42 |
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.