MARC NELSON
Urology Physician · LIBERTYVILLE, IL
Individual Active NPI 1043637325
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 657 | 8,315 | $1,155,158 | $316,693 | $241,159 |
| 2023 | 634 | 6,207 | $1,130,779 | $320,306 | $247,993 |
| 2022 | 568 | 5,255 | $1,092,781 | $275,588 | $213,460 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 1,150 | $3 | $2 |
| 81003 | Automated urinalysis test | 671 | $2 | $2 |
| 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 | 541 | $16 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 351 | $90 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 180 | $128 | $94 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 178 | $11 | $8 |
| 36415 | Insertion of needle into vein for collection of blood sample | 169 | $9 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 133 | $164 | $115 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 98 | $206 | $160 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 63 | $65 | $49 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | $75 | $57 |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 42 | $314 | $242 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 036147744 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Illinois
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- NPI 1285688218
- NPI 1720122005
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.