Dr. James Nelson, MD

Gastroenterology Milwaukee, WI Male
NPI: 1245291061
Medicare Patients
650
Medicare Billing
$132,271

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2021 13 355 1,279 $256,238 $59,682
2020 13 295 1,521 $266,418 $72,589
Total Patients
650
Total Services
2,800
Medicare Billing
$132,271
Procedure Codes
26

All Medicare Procedures & Services

26 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
J1745 Injection, infliximab, excludes biosimilar, 10 mg Office 2021 11 840 $84,000 $28,401 33.8%
45385 Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare Facility 2021 43 43 $46,139 $8,510 18.4%
45380 Biopsy of the large bowel using an endoscope (colonoscopy) Facility 2021 51 51 $43,095 $4,440 10.3%
88305 Pathology examination of tissue using a microscope, intermediate complexity Office 2021 91 166 $22,244 $3,900 17.5%
G0105 Colorectal cancer screening; colonoscopy on individual at high risk Facility 2021 20 20 $15,600 $3,509 22.5%
43239 Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope Facility 2021 25 27 $15,741 $2,150 13.7%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 27 33 $8,844 $1,967 22.2%
96413 Infusion of chemotherapy into a vein up to 1 hour Office 2021 11 15 $7,530 $1,776 23.6%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 16 20 $7,780 $1,727 22.2%
99442 Physician telephone patient service, 11-20 minutes of medical discussion Office 2021 25 25 $2,475 $1,600 64.6%
99443 Physician telephone patient service, 21-30 minutes of medical discussion Office 2021 12 13 $1,885 $1,224 64.9%
99441 Physician telephone patient service, 5-10 minutes of medical discussion Office 2021 11 11 $770.00 $433.10 56.2%
36415 Insertion of needle into vein for collection of blood sample Office 2021 12 15 $135.00 $45.00 33.3%
J1745 Injection, infliximab, excludes biosimilar, 10 mg Office 2020 13 1,183 $130,900 $47,572 36.3%
45385 Removal of polyps or growths of large bowel using an endoscope Facility 2020 33 33 $35,409 $6,568 18.5%
45380 Biopsy of large bowel using an endoscope Facility 2020 36 36 $30,420 $3,431 11.3%
G0105 Colorectal cancer screening; colonoscopy on individual at high risk Facility 2020 13 13 $10,114 $2,412 23.8%
88305 Pathology examination of tissue using a microscope, intermediate complexity Office 2020 59 103 $13,802 $2,236 16.2%
96413 Infusion of chemotherapy into a vein up to 1 hour Office 2020 13 17 $8,568 $1,874 21.9%
99213 Established patient office or other outpatient visit, typically 15 minutes Office 2020 33 37 $9,805 $1,856 18.9%
99214 Established patient office or other outpatient, visit typically 25 minutes Office 2020 23 24 $9,336 $1,770 19.0%
99443 Physician telephone patient service, 21-30 minutes of medical discussion Office 2020 21 21 $3,045 $1,759 57.8%
99204 New patient office or other outpatient visit, typically 45 minutes Office 2020 16 16 $9,408 $1,680 17.9%
99203 New patient office or other outpatient visit, typically 30 minutes Office 2020 11 11 $4,257 $776.84 18.2%
99442 Physician telephone patient service, 11-20 minutes of medical discussion Office 2020 11 11 $1,210 $606.78 50.1%
12»

About Dr. James Nelson, MD

Dr. James Nelson, MD is a Gastroenterology healthcare provider based in Milwaukee, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/31/2006. The National Provider Identifier (NPI) number assigned to this provider is 1245291061.

As a Medicare-enrolled provider, Nelson has provided services to 650 Medicare beneficiaries, totaling 2,800 services with total Medicare billing of $132,271. Data is available for 2 years (2020–2021), covering 26 distinct procedure/service records.

Practice Information

  • Specialty Gastroenterology
  • Location Milwaukee, WI
  • Active Since 03/31/2006
  • Last Updated 01/31/2023
  • Taxonomy Code 207RG0100X
  • Entity Type Individual
  • NPI Number 1245291061

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Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

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