Total Payments
$1,410
2022 Payments
$24.06
Companies
7
Transactions
23
Medicare Patients
2,250
Medicare Billing
$645,899
Payment Breakdown by Category
Food & Beverage$796.26 (56.5%)
Travel$614.01 (43.5%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $796.26 | 22 | 56.5% |
| Travel and Lodging | $614.01 | 1 | 43.5% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medtronic Vascular, Inc. | $939.30 | 9 | $0 (2019) |
| Vascular Insights, LLC | $235.06 | 3 | $0 (2017) |
| Tactile Systems Technology Inc | $85.12 | 4 | $0 (2022) |
| Biocompatibles, Inc. | $75.98 | 4 | $0 (2019) |
| Medtronic, Inc. | $49.04 | 1 | $0 (2021) |
| Organogenesis Inc. | $13.04 | 1 | $0 (2019) |
| Novartis Pharmaceuticals Corporation | $12.73 | 1 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $24.06 | 1 | Tactile Systems Technology Inc ($24.06) |
| 2021 | $63.75 | 2 | Medtronic, Inc. ($49.04) |
| 2020 | $14.20 | 1 | Tactile Systems Technology Inc ($14.20) |
| 2019 | $786.32 | 8 | Medtronic Vascular, Inc. ($694.12) |
| 2018 | $108.21 | 3 | Medtronic Vascular, Inc. ($89.77) |
| 2017 | $413.73 | 8 | Vascular Insights, LLC ($235.06) |
All Payment Transactions
23 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 08/11/2022 | Tactile Systems Technology Inc | Flexitouch Plus (Device), entre | Food and Beverage | In-kind items and services | $24.06 | General |
| Category: PNEUMATIC COMPRESSOR | ||||||
| 11/02/2021 | Tactile Systems Technology Inc | Flexitouch Plus (Device), entre | Food and Beverage | In-kind items and services | $14.71 | General |
| Category: PNEUMATIC COMPRESSOR | ||||||
| 05/12/2021 | Medtronic, Inc. | VenaSeal (Device) | Food and Beverage | In-kind items and services | $49.04 | General |
| Category: EndoVenous Therapies | ||||||
| 11/19/2020 | Tactile Systems Technology Inc | FLEXITOUCH (Device), ACTITOUCH, ENTRE | Food and Beverage | In-kind items and services | $14.20 | General |
| Category: PNEUMATIC COMPRESSOR | ||||||
| 12/18/2019 | Biocompatibles, Inc. | VARITHENA (Drug) | Food and Beverage | In-kind items and services | $21.83 | General |
| Category: FOAM SCLEROTHERAPY | ||||||
| 09/12/2019 | Biocompatibles, Inc. | VARITHENA (Drug) | Food and Beverage | In-kind items and services | $12.45 | General |
| Category: FOAM SCLEROTHERAPY | ||||||
| 09/11/2019 | Organogenesis Inc. | Apligraf (Device) | Food and Beverage | Cash or cash equivalent | $13.04 | General |
| Category: Wound Care | ||||||
| 08/08/2019 | Medtronic Vascular, Inc. | VenaSeal (Device) | Food and Beverage | In-kind items and services | $67.03 | General |
| Category: EndoVenous Therapies | ||||||
| 07/16/2019 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $12.73 | General |
| Category: CARDIOVASCULAR | ||||||
| 06/07/2019 | Medtronic Vascular, Inc. | ClosureFast (Device) | Food and Beverage | In-kind items and services | $13.08 | General |
| Category: EndoVenous Therapies | ||||||
| 05/28/2019 | Medtronic Vascular, Inc. | VenaSeal (Device) | Travel and Lodging | In-kind items and services | $614.01 | General |
| Category: EndoVenous Therapies | ||||||
| 03/25/2019 | Tactile Systems Technology Inc | FLEXITOUCH (Device), ACTITOUCH, ENTRE | Food and Beverage | In-kind items and services | $32.15 | General |
| Category: PNEUMATIC COMPRESSOR | ||||||
| 11/09/2018 | Medtronic Vascular, Inc. | VenaSeal (Device) | Food and Beverage | In-kind items and services | $72.38 | General |
| Category: EndoVenous Therapies | ||||||
| 11/09/2018 | Biocompatibles, Inc. | VARITHENA (Drug) | Food and Beverage | In-kind items and services | $18.44 | General |
| Category: FOAM SCLEROTHERAPY | ||||||
| 06/15/2018 | Medtronic Vascular, Inc. | ClosureFast (Device) | Food and Beverage | In-kind items and services | $17.39 | General |
| Category: EndoVenous Therapies | ||||||
| 12/20/2017 | Medtronic Vascular, Inc. | ClosureFast (Device) | Food and Beverage | In-kind items and services | $64.88 | General |
| Category: EndoVenous Therapies | ||||||
| 12/07/2017 | Medtronic Vascular, Inc. | ClosureFast (Device) | Food and Beverage | In-kind items and services | $20.56 | General |
| Category: EndoVenous Therapies | ||||||
| 11/15/2017 | Biocompatibles, Inc. | VARITHENA (Drug) | Food and Beverage | In-kind items and services | $23.26 | General |
| Category: FOAM SCLEROTHERAPY | ||||||
| 10/27/2017 | Medtronic Vascular, Inc. | ClosureFast (Device) | Food and Beverage | In-kind items and services | $26.18 | General |
| Category: EndoVenous Therapies | ||||||
| 07/11/2017 | Vascular Insights, LLC | Clarivein (Device) | Food and Beverage | Cash or cash equivalent | $12.61 | General |
| Category: Vascular | ||||||
| 05/03/2017 | Vascular Insights, LLC | Clarivein (Device) | Food and Beverage | Cash or cash equivalent | $6.41 | General |
| Category: Vascular | ||||||
| 04/20/2017 | Vascular Insights, LLC | Clarivein (Device) | Food and Beverage | Cash or cash equivalent | $216.04 | General |
| Category: Vascular | ||||||
| 02/07/2017 | Medtronic Vascular, Inc. | VenaSeal (Device) | Food and Beverage | In-kind items and services | $43.79 | General |
| Category: EndoVenous Therapies | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 251 | 366 | $159,369 | $24,006 |
| 2022 | 9 | 459 | 657 | $389,246 | $98,897 |
| 2021 | 9 | 658 | 991 | $813,128 | $204,269 |
| 2020 | 10 | 882 | 1,624 | $1.2M | $318,726 |
Total Patients
2,250
Total Services
3,638
Medicare Billing
$645,899
Procedure Codes
41
All Medicare Procedures & Services
41 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | Office | 2023 | 24 | 43 | $17,200 | $5,619 | 32.7% |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | Office | 2023 | 36 | 61 | $17,568 | $4,848 | 27.6% |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | Office | 2023 | 28 | 31 | $13,485 | $3,610 | 26.8% |
| 76942 | Ultrasonic guidance for needle placement | Office | 2023 | 24 | 43 | $15,007 | $1,813 | 12.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 23 | 24 | $2,568 | $1,518 | 59.1% |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | Facility | 2023 | 11 | 25 | $14,066 | $1,312 | 9.3% |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | Facility | 2023 | 11 | 15 | $65,338 | $1,260 | 1.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 15 | 15 | $2,775 | $1,184 | 42.7% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 17 | 17 | $3,491 | $928.20 | 26.6% |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | Facility | 2023 | 18 | 35 | $2,434 | $547.20 | 22.5% |
| 76942 | Ultrasonic guidance for needle placement | Facility | 2023 | 11 | 24 | $2,272 | $535.04 | 23.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 15 | 15 | $1,065 | $450.23 | 42.3% |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | Facility | 2023 | 18 | 18 | $2,100 | $380.12 | 18.1% |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | Office | 2022 | 30 | 48 | $177,365 | $47,112 | 26.6% |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | Office | 2022 | 58 | 110 | $50,472 | $15,777 | 31.3% |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | Office | 2022 | 84 | 158 | $50,127 | $12,985 | 25.9% |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | Office | 2022 | 87 | 91 | $45,023 | $9,649 | 21.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 62 | 62 | $11,877 | $4,871 | 41.0% |
| 76942 | Ultrasonic guidance for needle placement | Office | 2022 | 60 | 103 | $44,320 | $4,437 | 10.0% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 45 | 50 | $3,682 | $1,840 | 50.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 20 | 20 | $2,230 | $1,166 | 52.3% |
| 10160 | Aspiration of abscess, blood, or cyst | Office | 2022 | 13 | 15 | $4,151 | $1,060 | 25.5% |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | Office | 2021 | 71 | 103 | $379,128 | $108,075 | 28.5% |
| 36471 | Injection of chemical agent into multiple incompetent veins of one leg | Office | 2021 | 91 | 171 | $92,025 | $24,319 | 26.4% |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | Office | 2021 | 112 | 231 | $87,903 | $19,885 | 22.6% |
About Dr. Michael Nellestein, M.D
Dr. Michael Nellestein, M.D is a Phlebology healthcare provider based in Saint Joseph, Missouri. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/24/2006. The National Provider Identifier (NPI) number assigned to this provider is 1104848662.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Michael Nellestein, M.D has received a total of $1,410 in payments from pharmaceutical and medical device companies, with $24.06 received in 2022. These payments were reported across 23 transactions from 7 companies. The most common payment nature is "Food and Beverage" ($796.26).
As a Medicare-enrolled provider, Nellestein has provided services to 2,250 Medicare beneficiaries, totaling 3,638 services with total Medicare billing of $645,899. Data is available for 4 years (2020–2023), covering 41 distinct procedure/service records.
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Practice Information
- Specialty Phlebology
- Location Saint Joseph, MO
- Active Since 07/24/2006
- Last Updated 09/29/2016
- Taxonomy Code 202K00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1104848662
Products in Payments
- VenaSeal (Device) $846.25
- Clarivein (Device) $235.06
- ClosureFast (Device) $142.09
- VARITHENA (Drug) $75.98
- FLEXITOUCH (Device) $46.35
- Flexitouch Plus (Device) $38.77
- Apligraf (Device) $13.04
- ENTRESTO (Drug) $12.73
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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.