Kubenik, Melissa

Kubenik, Melissa was paid $43K by Medicaid between Apr 2019 and Jan 2023, across 10 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 33% of everything it billed.

33Billing provider infoKUBENIK, MELISSA
ROCK HILL, NY 12775

33aNPI1760689590assigned 06/27/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$43K

24GClaims963

24DCodes billed10

24AFirst – last monthApr 2019 – Jan 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#314 of 762

Median peer was paid$22K

This provider vs. median2.0×

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
2019	46	$4K
2020	150	$10K
2021	362	$15K
2022	393	$13K
2023	12	$524.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	33%	93	92	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	163	154	$13K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	16%	145	142	$7K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	8.0%	100	100	$3K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	8.0%	100	100	$3K
86780		1.7%	56	56	$728.20
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.5%	86	85	$640.20
87086	Culture, bacterial; quantitative colony count, urine	<1%	27	27	$217.89
36415	Collection of venous blood by venipuncture	<1%	181	170	$166.45
81025		<1%	12	12	$94.71

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.