Toulios, Melissa

Toulios, Melissa was paid $156K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoTOULIOS, MELISSA
NAPERVILLE, IL 60563

33aNPI1912207036assigned 10/22/2010

33bProvider typeFamily Nurse Practitioner

28Total paid$156K

24GClaims3,407

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#474 of 3,353

Median peer was paid$25K

This provider vs. median6.3×

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	103	$5K
2019	424	$19K
2020	139	$5K
2021	407	$18K
2022	920	$40K
2023	889	$40K
2024incomplete	525	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	1,734	1,519	$78K
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	39%	938	801	$61K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	4.3%	433	396	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.4%	115	112	$4K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	1.9%	73	71	$3K
99223	Prolong inpt eval add15 m	1.1%	21	20	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	51	42	$839.20
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	14	14	$760.87
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	28	28	$666.90

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.