Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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James, Melissa

James, Melissa was paid $12K by Medicaid between Mar 2022 and Jun 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoJAMES, MELISSA
ADDISON, IL 60101
33aNPI1538690318assigned 03/23/2017
28Total paid$12K
24GClaims230
24DCodes billed3
24AFirst – last monthMar 2022 – Jun 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Illinois

Rank by total paid#633 of 981
Median peer was paid$27K
This provider vs. median0.5×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202258$3K
2023102$5K
2024incomplete70$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 96% 202 172 $12K
96127 2.8% 15 15 $335.80
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 13 12 $209.04

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.