Physician
Melone, Paula
Melone, Paula was paid $952K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoMELONE, PAULA
AURORA, IL 60504
AURORA, IL 60504
33aNPI1598812414assigned 01/04/2007
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$952K
24GClaims24,317
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Illinois
Rank by total paid#9 of 70
Median peer was paid$210K
This provider vs. median4.5×
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
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 | 1,992 | $82K | |
| 2019 | 3,155 | $130K | |
| 2020 | 3,767 | $150K | |
| 2021 | 4,463 | $167K | |
| 2022 | 3,931 | $150K | |
| 2023 | 3,714 | $136K | |
| 2024incomplete | 3,295 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 4,252 | 3,729 | $321K |
| 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 | 15% | 1,813 | 1,607 | $142K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 4,483 | 3,992 | $136K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 12% | 2,279 | 2,012 | $111K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 11% | 3,421 | 2,504 | $106K |
| 59025 | Fetal non-stress test | 6.1% | 6,774 | 3,859 | $58K |
| 99243 | 4.1% | 403 | 344 | $39K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 791 | 614 | $35K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | 25 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 46 | 41 | $1K |
| 76820 | <1% | 17 | 13 | $684.42 |
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.