Gardner, Melissa

Gardner, Melissa was paid $22K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoGARDNER, MELISSA
EAST BOSTON, MA 02128

33aNPI1033652987assigned 11/27/2016

33bProvider typeAdult Health Nurse Practitioner

28Total paid$22K

24GClaims324

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Massachusetts

Rank by total paid#23 of 68

Median peer was paid$7K

This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	31	$2K
2024incomplete	293	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	93	69	$6K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	28%	70	51	$6K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	21%	90	70	$5K
90836		20%	56	41	$4K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	2.6%	15	12	$565.88

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.