Carter, Melissa

Carter, Melissa was paid $83K by Medicaid between Oct 2020 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoCARTER, MELISSA
WARREN, PA 16365

33aNPI1396831731assigned 10/05/2006

33bProvider typeEmergency Medicine Physician

28Total paid$83K

24GClaims1,243

24DCodes billed3

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#312 of 1,211

Median peer was paid$19K

This provider vs. median4.3×

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
2020	41	$2K
2021	272	$13K
2022	313	$15K
2023	490	$38K
2024incomplete	127	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	58%	609	599	$48K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	418	408	$26K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.8%	216	216	$8K

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.