Cross, Melanie

Cross, Melanie was paid $485K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoCROSS, MELANIE
MOUNT VERNON, IL 62864

33aNPI1093197410assigned 06/22/2015

33bProvider typeFamily Nurse Practitioner

28Total paid$485K

24GClaims12,012

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#78 of 3,353

Median peer was paid$25K

This provider vs. median20×

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	456	$11K
2019	1,714	$58K
2020	1,217	$48K
2021	1,660	$67K
2022	2,890	$124K
2023	2,365	$94K
2024incomplete	1,710	$84K

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	98%	10,793	8,828	$474K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.4%	690	510	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	197	191	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	32	13	$446.32
81003		<1%	165	157	$365.63
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	99	83	$233.80
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	21	12	$120.63
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	15	12	$27.41

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.