Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMITH, MELISSA

NPI: 1558543421 · NEWPORT BEACH, CA 92663 · Plastic Surgery Physician · NPI assigned 12/03/2007

$255K
Total Medicaid Paid
44,012
Total Claims
10,897
Beneficiaries
28
Codes Billed
2021-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 9,265 $73K
2022 21,886 $99K
2023 12,620 $60K
2024 241 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,020 496 $73K
99336 4,542 1,198 $64K
11044 882 269 $47K
99349 1,040 333 $24K
11043 711 249 $14K
99310 Prolong nursin fac eval 15m 365 146 $13K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 359 144 $6K
99070 4,519 1,398 $4K
11303 191 41 $3K
99205 Prolong outpt/office vis 16 16 $2K
17000 326 106 $2K
17250 224 80 $2K
99080 559 314 $692.59
11055 111 39 $136.80
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,178 958 $0.10
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,750 522 $0.00
1036F 3,781 860 $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 166 48 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 426 135 $0.00
3017F 568 182 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 5,353 865 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 30 14 $0.00
G8482 Influenza immunization administered or previously received 2,831 823 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 7,579 920 $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 1,264 376 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 778 212 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 197 71 $0.00
4040F 246 82 $0.00