Physician
Smith, Melissa
Smith, Melissa was paid $255K by Medicaid between Jan 2021 and Oct 2024, across 28 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 29% of everything it billed.
33Billing provider infoSMITH, MELISSA
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
33aNPI1558543421assigned 12/03/2007
33bProvider typePlastic Surgery Physician
28Total paid$255K
24GClaims44,012
24DCodes billed28
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Plastic Surgery Physician providers in California
Rank by total paid#8 of 50
Median peer was paid$26K
This provider vs. median9.9×
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 | 9,265 | $73K | |
| 2022 | 21,886 | $99K | |
| 2023 | 12,620 | $60K | |
| 2024incomplete | 241 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 29% | 1,020 | 496 | $73K |
| 99336 | 25% | 4,542 | 1,198 | $64K | |
| 11044 | 18% | 882 | 269 | $47K | |
| 99349 | 9.3% | 1,040 | 333 | $24K | |
| 11043 | 5.6% | 711 | 249 | $14K | |
| 99310 | Prolong nursin fac eval 15m | 5.2% | 365 | 146 | $13K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.3% | 359 | 144 | $6K |
| 99070 | 1.7% | 4,519 | 1,398 | $4K | |
| 11303 | 1.4% | 191 | 41 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 16 | 16 | $2K |
| 17000 | <1% | 326 | 106 | $2K | |
| 17250 | <1% | 224 | 80 | $2K |
16 more codes
| 99080 | <1% | 559 | $692.59 | |
| 11055 | <1% | 111 | $136.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,178 | $0.10 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,750 | $0.00 |
| 1036F | 0% | 3,781 | $0.00 | |
| G9901 | Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period | 0% | 166 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 426 | $0.00 |
| 3017F | 0% | 568 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 5,353 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 30 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,831 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 7,579 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 1,264 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 778 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 197 | $0.00 |
| 4040F | 0% | 246 | $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.