Physician
Keene, Melissa
Keene, Melissa was paid $11K by Medicaid between Jan 2018 and Nov 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoKEENE, MELISSA
JONESVILLE, VA 24263
JONESVILLE, VA 24263
33aNPI1295943876assigned 05/18/2007
33bProvider typePediatrics Physician
28Total paid$11K
24GClaims271
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#574 of 817
Median peer was paid$29K
This provider vs. median0.4×
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 | 271 | $11K |
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 | 64% | 155 | 132 | $7K |
| 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 | 36% | 66 | 60 | $4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 20 | 20 | $4.20 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 15 | 15 | $2.70 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 15 | 15 | $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.