Nielsen, Paul

Nielsen, Paul was paid $69K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoNIELSEN, PAUL
WOOSTER, OH 44691

33aNPI1912187071assigned 11/06/2007

33bProvider typeFamily Medicine Physician

28Total paid$69K

24GClaims2,167

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#272 of 739

Median peer was paid$30K

This provider vs. median2.3×

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	602	$14K
2019	351	$11K
2020	175	$7K
2021	336	$12K
2022	434	$10K
2023	165	$10K
2024incomplete	104	$5K

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	56%	660	609	$39K
99309	Subsequent nursing facility care, per day, low to moderate complexity	24%	871	759	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	258	240	$10K
99308	Subsequent nursing facility care, per day, straightforward	5.3%	282	252	$4K
99307		1.2%	76	56	$800.36
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	20	13	$0.00

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.