NP / PA
Lopez, Melissa
Lopez, Melissa was paid $415K by Medicaid between Jul 2021 and Dec 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 34% of everything it billed.
33Billing provider infoLOPEZ, MELISSA
JANESVILLE, WI 53545
JANESVILLE, WI 53545
33aNPI1497397707assigned 10/09/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$415K
24GClaims1,880
24DCodes billed14
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Wisconsin
Rank by total paid#1 of 180
Median peer was paid$2K
This provider vs. median181×
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 | |
|---|---|---|---|
| 2021 | 298 | $45K | |
| 2022 | 257 | $58K | |
| 2023 | 323 | $71K | |
| 2024incomplete | 1,002 | $241K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 34% | 438 | 370 | $142K |
| 99343 | 22% | 393 | 391 | $92K | |
| 99205 | Prolong outpt/office vis | 22% | 364 | 299 | $92K |
| 99344 | 15% | 339 | 336 | $64K | |
| 99342 | 2.0% | 36 | 36 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 24 | 24 | $8K |
| 99348 | 1.7% | 34 | 34 | $7K | |
| 92250 | <1% | 24 | 16 | $1K | |
| 3074F | 0% | 142 | 120 | $0.00 | |
| 1170F | 0% | 16 | 16 | $0.00 | |
| 3008F | 0% | 15 | 15 | $0.00 | |
| 1160F | 0% | 16 | 16 | $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.