Franklin, Melanie

Franklin, Melanie was paid $60K by Medicaid between May 2018 and Nov 2020, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.

33Billing provider infoFRANKLIN, MELANIE
NASHVILLE, TN 37232

33aNPI1508253006assigned 04/22/2015

33bProvider typePediatric Nurse Practitioner

28Total paid$60K

24GClaims590

24DCodes billed3

24AFirst – last monthMay 2018 – Nov 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Tennessee

Rank by total paid#36 of 70

Median peer was paid$60K

This provider vs. median1.0×

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	48	$5K
2019	184	$18K
2020	358	$38K

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	50%	242	231	$30K
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	42%	319	300	$26K
99244	Office or other outpatient consultation, moderate to high complexity	7.2%	29	29	$4K

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.