NP / PA
Pinney, Melissa
Pinney, Melissa was paid $138K by Medicaid between Mar 2023 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPINNEY, MELISSA
WAUCONDA, IL 60084
WAUCONDA, IL 60084
33aNPI1407569627assigned 01/03/2023
33bProvider typeFamily Nurse Practitioner
28Total paid$138K
24GClaims3,675
24DCodes billed16
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#533 of 3,353
Median peer was paid$25K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2023 | 139 | $4K | |
| 2024incomplete | 3,536 | $134K |
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 | 53% | 1,196 | 952 | $72K |
| 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 | 34% | 517 | 455 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 89 | 89 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 77 | 72 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $1K |
| 96127 | <1% | 73 | 70 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 47 | 46 | $686.20 |
| 90619 | <1% | 40 | 36 | $668.40 | |
| 81002 | <1% | 226 | 209 | $587.60 | |
| 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% | 12 | 12 | $573.24 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | 18 | $329.70 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 15 | $134.72 |
4 more codes
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.