NP / PA
Melodys Consulting LLC
Melodys Consulting LLC was paid $1.85M by Medicaid between Dec 2018 and Dec 2024, across 20 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.
33Billing provider infoMELODYS CONSULTING LLC
CHESTER, VA 23831
CHESTER, VA 23831
33aNPI1528538873assigned 11/29/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$1.85M
24GClaims118,993
24DCodes billed20
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Virginia
Rank by total paid#2 of 235
Median peer was paid$5K
This provider vs. median364×
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 | 293 | $3K | |
| 2019 | 3,015 | $51K | |
| 2020 | 5,222 | $93K | |
| 2021 | 10,310 | $187K | |
| 2022 | 34,390 | $457K | |
| 2023 | 26,322 | $454K | |
| 2024incomplete | 39,441 | $609K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 93% | 90,549 | 29,433 | $1.73M |
| 99493 | 3.5% | 1,777 | 1,513 | $64K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 487 | 396 | $26K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 1,311 | 856 | $19K |
| 99492 | <1% | 173 | 130 | $3K | |
| 1123F | <1% | 2,415 | 1,547 | $2K | |
| 0518F | <1% | 2,294 | 1,498 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 95 | 69 | $2K |
| 1090F | <1% | 1,534 | 859 | $2K | |
| 1100F | <1% | 692 | 587 | $528.51 | |
| 1124F | <1% | 127 | 84 | $100.00 | |
| 3021F | <1% | 136 | 68 | $50.00 |
8 more codes
| G8923 | Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function | 0% | 130 | $0.00 |
| G8450 | Beta-blocker therapy prescribed | 0% | 58 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 32 | $0.00 |
| G2092 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken | 0% | 45 | $0.00 |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 68 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 54 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16,994 | $0.00 |
| 3288F | 0% | 22 | $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.
From NPPES
Who's on the registration
Authorized officialBOXLEY, MELODY (OWNER)