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    OpenPayerNPI Medicare & MedicaidSusan Meller
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    Susan Meller — Billing Profile & Reimbursement Data

    NPI 1538177316 · Stateline, NV · Internal Medicine Physician

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    Susan Meller is a internal medicine physician provider located in Stateline, Nevada. 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.

    Table of contents

    Progress1 / 9

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSusan Meller
    Address132 Kahle Dr Unit L
    CityStateline
    StateNV
    ZIP89449
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 4, 2006

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    Revenue concentration is highly concentrated in a single Medicare code: Q4236 accounts for $2.7M and 97.6% of this provider's total Medicare revenue, and the precomputed top-3 codes together represent 98.8% of Medicare revenue. This indicates the practice's Medicare business is overwhelmingly driven by supply/device billing related to Q4236 rather than a broad mix of evaluation-and-management or procedural services.

    Service-line implication: the dominant use of Q4236 (Carepatch, per square centimeter add-on) alongside wound-related codes such as 11042 and 15271 suggests the provider operates with a strong wound-care or dermatologic dressing/skin-substitute focus rather than a general primary-care panel. The presence of debridement (11042) and skin substitute (15271) codes supports a treatment model centered on wound management and related product utilization.

    Payer mix and scale: this provider is effectively single-payer in the available data — Medicare accounts for the entirety of recorded lifetime revenue ($2.7M) while there is no Medicaid billing on file. Analysts should treat the practice as Medicare-dependent for the claims history shown and not assume Medicaid-related revenue or activity.

    Competitive standing for the top revenue driver: Q4236 revenue places the provider at rank #23 of 79 nationally for that code (72nd percentile), which indicates modest, typical volume relative to other providers billing this specific product rather than a dominant national position. That percentile-level description ("typical, unremarkable volume") reinforces that the high dollar concentration is a function of unit price and claim count rather than outsized market share in the code.

    Competitive standing across other billed services: secondary codes such as 99308, 11042, and 15271 all fall in mid-range national percentiles (66th–70th for 11042 and 99308; 57th for 15271) and are labeled as "typical, unremarkable volume." These placements imply the provider is a modest regional participant for nursing-facility E/M and wound-procedure services, without extreme outlier status on those measures.

    Operational footprint: claim counts tied to Q4236 (2.8K claims) compared with much smaller counts for E/M and procedure codes (e.g., 356 claims for 99308, 136 for 11042) indicate the provider’s activity model likely mixes recurring supply/product billing with a smaller volume of in-person procedural or nursing-facility visits. The revenue model therefore appears driven by per-unit product reimbursements rather than high-volume evaluation-and-management encounters.

    Tenure and experience: the NPI was enumerated on 2006-08-04 (~20 years ago), indicating long-standing enrollment in Medicare. This tenure supports the interpretation that the current billing mix is an established practice pattern rather than a transient or newly adopted service line.

    Absence of Medicaid activity: with no Medicaid billing on file, the provider does not appear to participate in state Medicaid reimbursement channels or has not billed Medicaid during the available reporting window. For payer strategy and network-access analysis, this profile should be considered Medicare-only unless other data sources indicate separate Medicaid arrangements.

    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
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)2,800$960$2.7M
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…360$60$20.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.140$100$13.9K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…120$80$10.2K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.80$120$9.3K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110$60$6.8K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…170$30$5K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…20$60$1.1K
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…30$10$330

    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
    Q42362102,800$960$2.2M
    99309143210250$80$44.9K
    9930894210290$50$38.9K
    15271214080$110$17.8K
    993071540100$30$14K
    1104251120120$70$11.6K
    993484010080$50$9.2K
    99342224020$50$2.2K
    G201271040$10$790

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David ChessCTInternal Medicine Physician$41.7M$150.5K
    Richard ParkCAInternal Medicine Physician$31.7M$0
    Nyrie AustinNJFamily Nurse Practitioner$15.9M$8.8K
    Patrick BlackCAPhysical Therapist$14M$0
    Owen EllingtonTXHematology & Oncology Physician$11.5M$0
    Youth And Shelter Services, Inc.IACounselor$0$11.4M
    Joseph PalumboWVEmergency Medicine Physician$7.9M$44.3K
    Shelita JonesTXFamily Nurse Practitioner$6.7M$0
    Kellie KingTXFamily Nurse Practitioner$5.3M$0
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maverick Medical, Inc.NVDurable Medical Equipment & Medical Supplies$0$1.4M
    Martin SalmNVDermatology Physician$1.2M$12.6K
    Robert RuppNVSports Medicine (Orthopaedic Surgery) Physician$102K$0
    Jay ChungNVRheumatology Physician$54.3K$0
    Benjamin BradfordNVFacial Plastic Surgery Physician$30.2K$0
    Tania Dickson-humphriesNVPhysician Assistant$27.6K$0
    Eric EwaldNVFamily Medicine Physician$24.3K$0
    Stuart MichelsonNVEmergency Medicine Physician$19.1K$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. Nevada Distribution
    Susan Meller — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada