Physician
Bradley, Melanie
Bradley, Melanie was paid $174K by Medicaid between Jul 2018 and Oct 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoBRADLEY, MELANIE
LEXINGTON, KY 40508
LEXINGTON, KY 40508
33aNPI1821252164assigned 07/16/2008
33bProvider typeOphthalmology Physician
28Total paid$174K
24GClaims5,821
24DCodes billed13
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Kentucky
Rank by total paid#15 of 110
Median peer was paid$15K
This provider vs. median11×
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 | 26 | $244.02 | |
| 2019 | 115 | $902.60 | |
| 2020 | 646 | $19K | |
| 2021 | 1,544 | $42K | |
| 2022 | 1,520 | $49K | |
| 2023 | 1,314 | $41K | |
| 2024incomplete | 656 | $21K |
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 | 50% | 1,637 | 1,492 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,582 | 1,457 | $57K |
| 92015 | Determination of refractive state | 4.7% | 2,157 | 1,983 | $8K |
| 92060 | 3.8% | 197 | 186 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.2% | 49 | 47 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 79 | 70 | $4K |
| 99243 | 1.4% | 35 | 29 | $2K | |
| 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 | <1% | 14 | 13 | $1K |
| 92201 | <1% | 23 | 15 | $495.27 | |
| 92285 | <1% | 12 | 12 | $166.68 | |
| V2020 | Frames, purchases | <1% | 12 | 12 | $120.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 12 | 12 | $99.00 |
1 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | $32.00 |
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.