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Melanie Ocampo

Registered Nurse·North Las Vegas, NV·NPI: 1023317955SharePrint ReportML Risk: 89%

Total Paid

$162K

$161,577

Total Claims

2,379

Beneficiaries

1,625

1.5 claims/patient

Avg Cost/Claim

$68

🔍 Analysis

Provider Overview

Melanie Ocampo is a Registered Nurse provider based in North Las Vegas, NV. From 2018-01 through 2018-11, this provider received $162K in Medicaid payments across 2K claims serving 2K beneficiaries, billing 6 distinct procedure codes.

Key Findings

  • 📊Bills 1.9× the national median for 99233 (99233), at $66 per claim vs. the median of $35, placing them above the 75th percentile.
  • 📊Billing stopped in 2018-11, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 54% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$88K

1,335 claims · 54.3%

Your Cost: $65.70/claim|Median: $35.30
1.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$45K

640 claims · 28.0%

Your Cost: $70.81/claim|Median: $43.85
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$11K

187 claims · 6.9%

Your Cost: $59.53/claim|Median: $23.99
2.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$10K

75 claims · 5.9%

Your Cost: $127.57/claim|Median: $67.32
1.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$6K

123 claims · 3.9%

Your Cost: $51.88/claim|Median: $53.41
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

19 claims · 0.9%

Your Cost: $77.17/claim|Median: $108.91
0.7× median