Physician
Santos, Melody
Santos, Melody was paid $394K by Medicaid between Feb 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoSANTOS, MELODY
SWANSEA, IL 62226
SWANSEA, IL 62226
33aNPI1487672903assigned 07/17/2006
33bProvider typePediatrics Physician
28Total paid$394K
24GClaims8,582
24DCodes billed26
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#355 of 1,805
Median peer was paid$55K
This provider vs. median7.1×
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 | 613 | $32K | |
| 2019 | 1,908 | $93K | |
| 2020 | 389 | $10K | |
| 2021 | 1,620 | $39K | |
| 2022 | 1,254 | $66K | |
| 2023 | 1,762 | $87K | |
| 2024incomplete | 1,036 | $65K |
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 | 43% | 2,101 | 1,681 | $171K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,588 | 1,145 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 561 | 426 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 344 | 242 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 264 | 212 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 1,014 | 819 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 150 | 128 | $13K |
| 90670 | <1% | 322 | 225 | $3K | |
| 90648 | <1% | 271 | 183 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 151 | 100 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 94 | 43 | $2K |
| 90686 | <1% | 149 | 129 | $2K |
14 more codes
| 90677 | <1% | 41 | $1K | |
| 90723 | <1% | 97 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $1K |
| 36416 | <1% | 194 | $591.02 | |
| 99000 | <1% | 58 | $580.00 | |
| 90633 | <1% | 27 | $446.23 | |
| 96160 | <1% | 33 | $330.00 | |
| 85018 | <1% | 118 | $287.10 | |
| 90656 | <1% | 14 | $268.80 | |
| 90619 | <1% | 13 | $218.90 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 439 | $182.14 |
| 90651 | <1% | 28 | $154.56 | |
| 99072 | 0% | 437 | $0.00 | |
| 90461 | 0% | 48 | $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.