Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ethier, Melissa

Ethier, Melissa was paid $16K by Medicaid between Sep 2018 and Aug 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoETHIER, MELISSA
CAMBRIDGE, MA 02139
33aNPI1255396727assigned 04/19/2006
28Total paid$16K
24GClaims777
24DCodes billed5
24AFirst – last monthSep 2018 – Aug 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#82 of 216
Median peer was paid$7K
This provider vs. median2.5×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
201814$470.40
2019178$8K
2020176$5K
2021150$2K
2022148$510.64
202399$0.00
2024incomplete12$759.24
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 326 315 $15K
59025 Fetal non-stress test 5.6% 29 24 $921.60
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 4.6% 12 12 $759.24
0502F 0% 379 292 $0.00
S4005 Interim labor facility global (labor occurring but not resulting in delivery) 0% 31 27 $0.00

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.