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    OpenPayerNPI Medicare & MedicaidJohn Mellas
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    John Mellas — Billing Profile & Reimbursement Data

    NPI 1497712079 · Fenton, MO · Nephrology Physician

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    John Mellas is a nephrology physician provider located in Fenton, Missouri. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Mellas
    Address1011 Bowles Ave Ste 220
    CityFenton
    StateMO
    ZIP63026
    TaxonomyNephrology Physician
    NPI EnumeratedApril 27, 2006

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

    Payer SourceTotal Paid
    Medicare$123.2K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…310$260$80K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…180$60$11.1K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$210$8.1K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…40$220$7.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$140$5.7K
    90937Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing…50$80$4.1K
    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…80$40$3.4K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…50$50$2.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$40$550

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9096014120140$270$41.3K
    909618914060$220$17.5K
    992321,2804,32090$60$10.8K
    992231,2272,72040$130$8.2K
    992133,8278,73070$50$7K
    9093761070$80$5.7K
    909359414070$50$4.6K
    994961114020$180$3.8K
    992311,3141,39040$40$2.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John Mellas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lissa Lopez-concaghMONephrology Physician$223.6K$0
    Kabeya MwintshiMONephrology Physician$221K$0
    Christian NwankwoMONephrology Physician$214.4K$0
    Nicholas GourtzelisMONephrology Physician$201K$0
    Juan GarciaMONephrology Physician$157.2K$0
    Heidi JoistIDNephrology Physician$118.2K$0
    Laura RogersMOFamily Nurse Practitioner$42.9K$0
    Alejandro AlvarezMONephrology Physician$39.9K$0
    Mohammed AbbasMOVascular & Interventional Radiology Physician$35.8K$1.2K

    Nearby Providers

    Other providers in the same ZIP code as John Mellas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thyroid Specialty Laboratory IncMOClinical Medical Laboratory$3.2M$30.2M
    Ssm Medical Group, Inc.MOMulti-Specialty Clinic/Center$0$19.4M
    Option Care Enterprises, Inc.MOHome Infusion Therapy Pharmacy$0$11.2M
    Ssm Health Care St. LouisMOGeneral Acute Care Hospital$0$7.7M
    Alternative Hospice LLCMOCommunity Based Hospice Care Agency$0$4.1M
    Solutions Lab And Health Care Services LLCMOClinical Medical Laboratory$967.7K$1.4M
    Jeffrey PetersenMODermatology Physician$616.1K$0
    Fenton Fire Protection DistrictMOLand Ambulance$291.6K$304.6K
    Ssm St Clare Surgical Center LLCMOAmbulatory Surgical Clinic/Center$398K$0
    Brent DavidsonMOOphthalmology Physician$251.9K$0

    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. Missouri Distribution
    John Mellas — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri