Physician
Anders P. Nelson, MD, PC
Anders P. Nelson, MD, PC was paid $409K by Medicaid between May 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoANDERS P. NELSON, MD, PC
CLARKS SUMMIT, PA 18411
CLARKS SUMMIT, PA 18411
33aNPI1992910699assigned 05/14/2007
33bProvider typePediatrics Physician
28Total paid$409K
24GClaims9,840
24DCodes billed24
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#235 of 1,257
Median peer was paid$45K
This provider vs. median9.0×
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 | 108 | $2K | |
| 2019 | 72 | $818.14 | |
| 2020 | 759 | $29K | |
| 2021 | 2,177 | $90K | |
| 2022 | 2,952 | $107K | |
| 2023 | 2,177 | $100K | |
| 2024incomplete | 1,595 | $79K |
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 | 25% | 3,105 | 2,631 | $104K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 1,069 | 1,022 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 979 | 922 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 736 | 694 | $58K |
| 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 | 13% | 976 | 910 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 197 | 191 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 165 | 155 | $2K |
| 90688 | <1% | 248 | 247 | $1K | |
| 90686 | <1% | 738 | 645 | $1K | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 59 | 57 | $1K |
| 90698 | <1% | 103 | 103 | $1K | |
| 92552 | <1% | 124 | 124 | $992.00 |
12 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $840.43 |
| 90670 | <1% | 270 | $840.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 88 | $754.92 |
| 96127 | <1% | 209 | $750.70 | |
| 90672 | <1% | 218 | $440.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $340.50 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 33 | $310.77 |
| 85018 | <1% | 55 | $174.42 | |
| 90680 | <1% | 80 | $130.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 126 | $0.00 |
| 90707 | 0% | 14 | $0.00 | |
| 90697 | 0% | 95 | $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.
From NPPES
Who's on the registration
Authorized officialNELSON, ANDERS (OWNER)