Nielsen, David

Nielsen, David was paid $4K by Medicaid between May 2019 and Jul 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoNIELSEN, DAVID
CHARLOTTESVILLE, VA 22911

33aNPI1922080498assigned 11/18/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$4K

24GClaims171

24DCodes billed2

24AFirst – last monthMay 2019 – Jul 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#49 of 79

Median peer was paid$6K

This provider vs. median0.7×

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
2019	83	$2K
2020	88	$2K

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	88%	156	131	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	15	13	$478.40

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.