Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMelissa Mortensen-welch
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Melissa Mortensen-welch — Billing Profile & Reimbursement Data

    NPI 1467675181 · East Setauket, NY · Sleep Medicine (Otolaryngology) Physician

    Customize your policy alerts

    Sign up for Melissa Mortensen-welch — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Melissa Mortensen-welch is a sleep medicine (otolaryngology) physician provider located in East Setauket, New York. This profile covers 8 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMelissa Mortensen-welch
    Address37 Research Way
    CityEast Setauket
    StateNY
    ZIP11733
    TaxonomySleep Medicine (Otolaryngology) Physician
    NPI EnumeratedApril 11, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$38.7K
    Medicaid$400

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…220$90$18.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…180$50$8.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…60$70$3.6K
    31541The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of an abnormal mass of tissues in the voice box of the patient. He may remove the…10$190$2.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$60$2.1K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.30$40$1.5K
    31571The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. The provider then injects a therapeutic agent into the one or…10$110$1.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…10$90$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31579239060$180$23.1K
    9921419,81230,45090$100$19K
    992138,56731,44080$70$12.1K
    3157539758060$100$8.8K
    9920411,94914,17030$130$6.6K
    992035,54111,36030$90$4.7K
    3154131010$230$3.2K
    3157121010$110$1.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…10$30$400

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…17,95419,110360$70$321K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Melissa Mortensen-welch, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albany Medical Center HospitalNYGeneral Acute Care Hospital$0$79.8M
    Chad BouchardNYRetina Specialist (Ophthalmology) Physician$3.1M$0
    Jonathan HuzNYRetina Specialist (Ophthalmology) Physician$1.9M$40.1K
    Naomi FalkNYRetina Specialist (Ophthalmology) Physician$1.6M$9.5K
    Pawan BhatnagarNYRetina Specialist (Ophthalmology) Physician$1.5M$16.4K
    Manish MehtaNYVascular Surgery Physician$1.4M$320
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Richard BryanNYRheumatology Physician$579K$22.3K
    Philip PatyNYVascular Surgery Physician$422.9K$0
    Ping LuNYNuclear Medicine Physician$404.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Melissa Mortensen-welch, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Steven MontanaNYHematology & Oncology Physician$2.2M$28.3K
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Joseph CirroneNYRadiation Oncology Physician$1.7M$0
    Mark BorekNYCardiovascular Disease Physician$1.5M$0
    Martin SilversteinNYRadiation Oncology Physician$1.2M$17.5K
    Gurmohan SyaliNYMedical Oncology Physician$1.1M$69.2K
    Emanuel ChryssosNYCardiovascular Disease Physician$1M$30
    Rocco CarusoNYHematology & Oncology Physician$1M$4.6K
    Khurram ChaudharyNYRetina Specialist (Ophthalmology) Physician$910.4K$66.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Melissa Mortensen-welch — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Melissa Mortensen-welch — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York