Physician
Melendez, Philipp
Melendez, Philipp was paid $3.15M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 59425, — 42% of everything it billed.
33Billing provider infoMELENDEZ, PHILIPP
BAKERSFIELD, CA 93301
BAKERSFIELD, CA 93301
33aNPI1730162652assigned 11/23/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.15M
24GClaims35,353
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#44 of 791
Median peer was paid$67K
This provider vs. median47×
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 | 4,274 | $323K | |
| 2019 | 5,677 | $451K | |
| 2020 | 5,559 | $450K | |
| 2021 | 6,814 | $574K | |
| 2022 | 4,874 | $401K | |
| 2023 | 3,844 | $329K | |
| 2024incomplete | 4,311 | $622K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 42% | 15,091 | 8,935 | $1.32M | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 20% | 985 | 978 | $637K |
| 99205 | Prolong outpt/office vis | 9.8% | 1,475 | 1,398 | $308K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 3,215 | 2,961 | $132K |
| 76801 | 4.1% | 1,782 | 1,628 | $128K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 4.0% | 2,162 | 1,284 | $126K |
| Z1034 | 3.1% | 1,778 | 1,046 | $97K | |
| 59430 | 2.5% | 954 | 948 | $79K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 455 | 455 | $54K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.6% | 524 | 494 | $51K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 1.5% | 902 | 870 | $47K |
| 97803 | 1.1% | 1,409 | 1,396 | $36K |
16 more codes
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 762 | $27K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 168 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 461 | $17K |
| 96156 | <1% | 1,116 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 137 | $11K |
| H1000 | Prenatal care, at-risk assessment | <1% | 515 | $7K |
| 99403 | <1% | 457 | $7K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 89 | $6K |
| 76830 | Ultrasound, transvaginal | <1% | 76 | $5K |
| 96151 | <1% | 435 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 159 | $2K |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 27 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 141 | $894.53 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $881.56 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 29 | $714.41 |
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.