MARK NELMS, PA-C
Physician Assistant · SCOTTSDALE, AZ
Individual Active NPI 1790341170
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 75 | 1,935 | $1,720,008 | $1,564,745 | $1,245,189 |
| 2023 | 128 | 1,191 | $842,246 | $548,100 | $434,124 |
| 2022 | 123 | 327 | $168,562 | $39,283 | $33,071 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 192 | $105 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 177 | $75 | $59 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 129 | $46 | $37 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 118 | $96 | $76 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 84 | $122 | $97 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 | $91 | $73 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 15 | $59 | $47 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $136 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 8053 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.