What is Michael Nelms's specialty?

Michael Nelms (NPI 1235113580) is a Medicare-billing provider whose primary specialty is Physician Assistant in San Diego, CA.

Where does Michael Nelms practice?

Michael Nelms practices in San Diego, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1235113580.

How much does Medicare pay Michael Nelms?

Michael Nelms (NPI 1235113580) received approximately $230K in total Medicare Part B payments, serving 436 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1235113580

Michael NelmsPA-C

Physician AssistantSan Diego, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,839

Unique beneficiaries

—

Total services

12,237

Distinct HCPCS

Medicare payment

$216K

Peer benchmark

Total Medicare services vs. 7,073 Physician Assistant providers in CA — top quintile (cohort median 224).

PRESCRIBING · PART D · 2024

Total Rx claims

341

Beneficiaries

—

Total drug cost

$8K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Ketoconazole70 claims

Triamcinolone Acetonide64 claims

Clobetasol Propionate37 claims

Cephalexin31 claims

Fluorouracil27 claims

QUALITY · MIPS · 2024

Final MIPS score

85.2

Quality

74.5

Cost

82.7

Improvement activities

40.0

Promoting interop.

92.0

Payment adjustment

0.43%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where Michael Nelms's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Payam Abrishami Dermatology · Agoura Hills, CA	33	48
Unilab Corporation Clinical Laboratory · West Hills, CA	16	26

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Payam Abrishami Dermatology · Agoura Hills, CA	98	155
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	25	40
Unilab Corporation Clinical Laboratory · West Hills, CA	23	45
SHEN, HONGGANG	22	26
CALIFORNIA LABORATORY SCIENCES LLC	15	30
HOAG MEMORIAL HOSPITAL PRESBYTERIAN	14	22
Ronald Shiell Dermatology · Redlands, CA	14	17
Amy Yi Pei Yang Pathology · Placentia, CA	13	15

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events