NP / PA
Karaffa, Melissa
Karaffa, Melissa was paid $596K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoKARAFFA, MELISSA
CENTRALIA, IL 62801
CENTRALIA, IL 62801
33aNPI1356629612assigned 08/03/2011
33bProvider typeClinical Nurse Specialist
28Total paid$596K
24GClaims15,351
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Nurse Specialist providers in Illinois
Rank by total paid#1 of 25
Median peer was paid$8K
This provider vs. median76×
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 | 1,675 | $21K | |
| 2019 | 2,157 | $48K | |
| 2020 | 2,694 | $99K | |
| 2021 | 2,513 | $109K | |
| 2022 | 2,623 | $111K | |
| 2023 | 2,415 | $101K | |
| 2024incomplete | 1,274 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 58% | 5,084 | 4,430 | $348K |
| 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% | 5,815 | 5,029 | $174K |
| 99348 | 4.0% | 449 | 449 | $24K | |
| 99334 | 3.2% | 1,312 | 1,276 | $19K | |
| 99347 | 2.2% | 507 | 506 | $13K | |
| 99307 | 2.2% | 1,871 | 1,819 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 89 | 89 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 153 | 111 | $2K |
| 99324 | <1% | 34 | 34 | $734.66 | |
| Q3014 | Telehealth originating site facility fee | <1% | 37 | 30 | $244.82 |
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.