Blumenthal, Melanie

Blumenthal, Melanie was paid $8K by Medicaid between Feb 2018 and Mar 2020, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 35% of everything it billed.

33Billing provider infoBLUMENTHAL, MELANIE
LOS ALAMITOS, CA 90720

33aNPI1700990710assigned 08/18/2006

33bProvider typePediatrics Physician

28Total paid$8K

24GClaims570

24DCodes billed6

24AFirst – last monthFeb 2018 – Mar 2020

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#819 of 1,490

Median peer was paid$15K

This provider vs. median0.6×

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	142	$4K
2019	402	$4K
2020	26	$662.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	35%	248	181	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	190	145	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	31%	61	61	$3K
92551		1.4%	28	28	$116.00
81000		<1%	15	15	$8.19
99173		0%	28	28	$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.