EDWARD NELSON, MD
Pain Medicine Physician · CINCINNATI, OH
Individual Active NPI 1720085459
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 231 | 3,212 | $382,196 | $205,293 | $167,384 |
| 2023 | 305 | 2,812 | $421,727 | $229,276 | $187,829 |
| 2022 | 315 | 3,786 | $506,932 | $310,279 | $259,527 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 763 | $84 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 426 | $120 | $86 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 343 | $60 | $60 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 187 | $110 | $110 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 143 | $0 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 128 | $153 | $153 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 60 | $1 | $1 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 58 | $0 | $0 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 41 | $1 | $1 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 41 | $55 | $43 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 39 | $1 | $1 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 11 | $209 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ✓ | 35092154 | OH |
| Anesthesiology Physician | 207L00000X | 35.092154 | OH | |
| Anesthesiology Physician | 207L00000X | 34587 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 34587 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 35-092154 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.