Nelson, Donald

Nelson, Donald was paid $59K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 59025, Fetal non-stress test — 51% of everything it billed.

33Billing provider infoNELSON, DONALD
SAINT LOUIS, MO 63108

33aNPI1962420463assigned 07/17/2006

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$59K

24GClaims1,700

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Missouri

Rank by total paid#24 of 36

Median peer was paid$89K

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
2018	632	$22K
2019	961	$33K
2020	107	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59025	Fetal non-stress test	51%	921	440	$30K
99231	Subsequent hospital care, per day, straightforward or low complexity	32%	558	252	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.3%	102	66	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	53	48	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	3.4%	50	43	$2K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.0%	16	14	$592.60

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.