Macdonald, Melissa

Macdonald, Melissa was paid $5K by Medicaid between Jul 2020 and Aug 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoMACDONALD, MELISSA
BARRINGTON, IL 60010

33aNPI1497022586assigned 11/17/2011

33bProvider typeAdult Health Nurse Practitioner

28Total paid$5K

24GClaims138

24DCodes billed2

24AFirst – last monthJul 2020 – Aug 2022

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Illinois

Rank by total paid#170 of 261

Median peer was paid$13K

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
2020	33	$1K
2021	18	$483.75
2022	87	$3K

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	62%	81	55	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	38%	57	24	$2K

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.