Nelson, Michael

Nelson, Michael was paid $172K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 58% of everything it billed.

33Billing provider infoNELSON, MICHAEL
EVANSTON, IL 60201

33aNPI1902054216assigned 08/29/2008

33bProvider typeEmergency Medicine Physician

28Total paid$172K

24GClaims3,302

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#890 of 1,980

Median peer was paid$150K

This provider vs. median1.1×

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	383	$13K
2019	656	$24K
2020	500	$22K
2021	298	$20K
2022	172	$12K
2023	733	$42K
2024incomplete	560	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	58%	1,713	1,569	$100K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	1,068	1,007	$37K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	20%	453	425	$34K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	68	64	$2K

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.