Garcia, Melody
Garcia, Melody was paid $60K by Medicaid between Feb 2019 and Jan 2021, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.
33Billing provider infoGARCIA, MELODY
PEACHTREE CORNERS, GA 30092
PEACHTREE CORNERS, GA 30092
33aNPI1902351588assigned 08/24/2016
33bProvider typeOptometrist
28Total paid$60K
24GClaims671
24DCodes billed3
24AFirst – last monthFeb 2019 – Jan 2021
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#24 of 71
Median peer was paid$10K
This provider vs. median5.8×
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 | 295 | $29K | |
| 2020 | 364 | $31K | |
| 2021 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 68% | 236 | 236 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 91 | 91 | $19K |
| 92015 | Determination of refractive state | 1.4% | 344 | 343 | $819.00 |
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.