Physician

Matthew John Nelsen, MD

According to 2025 Medicare claims, Matthew Nelsen, MD (NPI: 1699727958) practices orthopedic surgery in the Fargo, ND-MN market, with the plurality of this provider's patient population coming from Cass, ND. This provider's primary affiliated billing organization is SANFORD MEDICAL CENTER FARGO (NPI: 1184917924; TIN: 450226909) and primary practice location at 58103-4940. Nelsen is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Nelsen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 507 traditional Medicare patients, billed 4,630 HCPCS/CPT codes, and received $166,287 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 430 prescription claims across 198 beneficiaries totaling $2,589 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 11 claims. Open Payments data shows 1 records totaling $34. 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 has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $10,445 to $2,589. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $7,844 to $801.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	443	1,535	$125,725
2016	444	1,064	$114,957
2017	439	1,026	$127,417
2018	399	987	$119,213
2019	607	1,707	$166,190
2020	551	1,606	$156,303
2021	643	1,818	$161,050
2022	561	1,535	$160,478
2023	516	1,454	$161,559
2024	507	4,630	$166,287

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	133	459	$10,445
2016	149	424	$8,779
2017	164	520	$4,580
2018	188	667	$5,672
2019	166	489	$3,438
2020	139	468	$2,504
2021	147	331	$2,051
2022	166	388	$2,129
2023	172	393	$2,383
2024	198	430	$2,589

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	12	$84
2021	N/R	N/R	N/R
2022	N/R	11	$732
2023	N/R	N/R	N/R
2024	N/R	11	$146

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
27447	Replacement of knee joint, both sides of knee	53	57	$931
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	103	106	$50
20610	Aspiration and/or injection of fluid from large joint	111	162	$39
76881	Complete ultrasound scan of joint	73	81	$32
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	268	367	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	177	876	$891
Oxycodone Hcl	Oxycodone Hcl	53	199	$177
Meloxicam	Meloxicam	39	1,410	$136
Amoxicillin	Amoxicillin	67	67	$74
Tramadol Hcl	Tramadol Hcl	16	75	$23

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	11	$146

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$34	Zimmer Biomet Holdings, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Matthew John Nelsen, MD?

Tedicare shows public-source Medicare data for Matthew John Nelsen, MD (NPI 1699727958), 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 Matthew John Nelsen, MD have ACO affiliation data?

Matthew John Nelsen, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to Matthew John Nelsen, MD?

Matthew John Nelsen, MD is linked to SANFORD MEDICAL CENTER FARGO (billing NPI 1184917924) in the available physician profile data.

Does Matthew John Nelsen, MD have Open Payments data?

Matthew John Nelsen, MD has 1 connected Open Payments records in the available 2024 summary 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.