NP / PA
Johnson, Melanie
Johnson, Melanie was paid $77K by Medicaid between May 2023 and Dec 2024, across 10 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 24% of everything it billed.
33Billing provider infoJOHNSON, MELANIE
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
33aNPI1831590363assigned 09/16/2014
33bProvider typeMedical Physician Assistant
28Total paid$77K
24GClaims1,804
24DCodes billed10
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Pennsylvania
Rank by total paid#34 of 282
Median peer was paid$6K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2023 | 492 | $21K | |
| 2024incomplete | 1,312 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 24% | 597 | 585 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 261 | 258 | $13K |
| 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 | 17% | 173 | 171 | $13K |
| 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 | 16% | 114 | 108 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 149 | 147 | $11K |
| 99051 | 7.1% | 296 | 293 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 134 | 134 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 45 | 45 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 22 | 22 | $819.44 |
| 99050 | <1% | 13 | 13 | $257.84 |
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.