Prusakowski, Melanie

Prusakowski, Melanie was paid $42K by Medicaid between Jan 2018 and Nov 2018, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 64% of everything it billed.

33Billing provider infoPRUSAKOWSKI, MELANIE
ROANOKE, VA 24014

33aNPI1689699712assigned 07/12/2006

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$42K

24GClaims571

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Virginia

Rank by total paid#1 of 10

Median peer was paid$9K

This provider vs. median4.9×

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
2018	571	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	64%	265	262	$27K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	30%	236	235	$12K
99282	Emergency department visit for the evaluation and management, low to moderate severity	6.0%	70	70	$2K

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.