Appleton, Melissa

Appleton, Melissa was paid $26K by Medicaid between Oct 2019 and Nov 2020, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.

33Billing provider infoAPPLETON, MELISSA
JACKSON, TN 38301

33aNPI1144287053assigned 04/26/2006

33bProvider typeInfectious Disease Physician

28Total paid$26K

24GClaims1,492

24DCodes billed5

24AFirst – last monthOct 2019 – Nov 2020

Compared with peers

Next to other Infectious Disease Physician providers in Tennessee

Rank by total paid#19 of 35

Median peer was paid$31K

This provider vs. median0.8×

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
2019	354	$2K
2020	1,138	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	53%	1,051	366	$14K
99239	Hospital discharge day management, more than 30 minutes	16%	196	179	$4K
99223	Prolong inpt eval add15 m	16%	102	87	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	15%	130	66	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	12	$141.01

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.