Physician

Joel W Nelson, D.O.

According to 2025 Medicare claims, Joel Nelson, D.O. (NPI: 1043650575) practices ophthalmology in the St. Cloud, MN market, with the plurality of this provider's patient population coming from Stearns, MN. This provider's primary affiliated billing organization is ST CLOUD EYE CLINIC PA (NPI: 1538157805; TIN: 411404835) and primary practice location at 56303-1747. Nelson is affiliated with the Central Minnesota ACO, LLC (ACO ID: A2844) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Nelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 465 traditional Medicare patients, billed 1,678 HCPCS/CPT codes, and received $176,724 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,414 prescription claims across 549 beneficiaries totaling $98,625 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2020 DME data shows 13 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $9,558 to $98,625. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$125K$250K2017 Medicare payment: $2,927 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $55,253 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $250,292 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $175,584 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $180,772 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $151,381 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $159,847 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $176,724 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20171725$2,927
2018176481$55,253
20195621,958$250,292
20204891,615$175,584
20214731,617$180,772
20224841,532$151,381
20234691,591$159,847
20244651,678$176,724

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$114K$229K2017 Drug cost: $9,558 (USD; Tot_Drug_Cst)2018 Drug cost: $55,313 (USD; Tot_Drug_Cst)2019 Drug cost: $89,806 (USD; Tot_Drug_Cst)2020 Drug cost: $118,670 (USD; Tot_Drug_Cst)2021 Drug cost: $134,586 (USD; Tot_Drug_Cst)2022 Drug cost: $214,381 (USD; Tot_Drug_Cst)2023 Drug cost: $228,552 (USD; Tot_Drug_Cst)2024 Drug cost: $98,625 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201775196$9,558
20182931,020$55,313
20193801,731$89,806
20204202,254$118,670
20215042,550$134,586
20225292,471$214,381
20235332,716$228,552
20245492,414$98,625

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.4K$2.8K2019 Medicare payment: $2,841 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $666 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20194243$2,841
20201313$666
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more105105$102
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more282299$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more162236$60
92136Measurement of corneal curvature and depth of eye116202$26
92133Imaging of optic nerve114116$23

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate29711,926$14,466
RestasisCyclosporine21630$13,569
LatanoprostLatanoprost68034,867$9,845
LumiganBimatoprost17852$8,206
CyclosporineCyclosporine11645$7,143

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Joel W. Nelson, D.O.?

Tedicare shows public-source Medicare data for Joel W. Nelson, D.O. (NPI 1043650575), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Joel W. Nelson, D.O. have ACO affiliation data?

Joel W. Nelson, D.O. is shown with ACO affiliation data for Central Minnesota ACO, LLC (MSSP, ACO ID A2844) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Joel W. Nelson, D.O.?

Joel W. Nelson, D.O. is linked to ST CLOUD EYE CLINIC PA (billing NPI 1538157805) in the available physician profile data.

Does Joel W. Nelson, D.O. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.