Internal Medicine · Springfield, MO
NPI
1376557264
Since 2006
Specialty
Internal Medicine
Code 207R00000X
Group practices
4
Medicare group memberships
Hospitals
3
Hospital affiliations
3525 S National Ave Ste 207
Springfield, MO, 65807
Phone (417) 269-9220
Groups this clinician bills Medicare through
Medicare paid, 2024
$119K
2,445 services
Medicare patients, 2024
443
Average age 79
Drug cost, 2024
$1.6M
21,884 prescriptions
Company payments, 2025
$6,531
From 16 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Melissa A Gaines was code 99214 (office e&m - established), 568 times for 345 patients. In total Melissa A Gaines billed 2,445 services in 79 codes, and Medicare paid $119K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2021-05-20.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Office | 568 | 345 | $77.65 | $44K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 540 | 312 | $11.27 | $6,086 |
| 36415 Venipuncture Blood Collection | Office | 389 | 259 | $8.65 | $3,365 |
| 99215 Office E&M - Established | Office | 262 | 171 | $113.92 | $30K |
| 96372 Injection Administration | Office | 83 | 21 | $9.12 | $757 |
| 99441 Telephone Services | Office | 52 | 50 | $32.92 | $1,712 |
| G0008 Administration of influenza virus vaccine | Office | 50 | 50 | $29.84 | $1,492 |
| 99496 Chronic, Principal, and Transitional Care Management | Office | 46 | 40 | $203.74 | $9,372 |
| 90653 Vaccine Product | Office | 28 | 28 | $56.24 | $1,575 |
| 99213 Office E&M - Established | Office | 24 | 21 | $50.08 | $1,202 |
| 90662 Vaccine Product | Office | 22 | 22 | $61.74 | $1,358 |
| 99495 Chronic, Principal, and Transitional Care Management | Office | 19 | 18 | $143.68 | $2,730 |
| 71046 X-ray - Chest | Office | 18 | 18 | $12.26 | $221 |
| 99483 Office/Outpatient Services | Office | 17 | 17 | $163.21 | $2,775 |
| 99474 Care Management/Coordination | Office | 17 | 13 | $9.16 | $156 |
By year: 2022 $123K for 1,640 services; 2023 $140K for 1,895 services; 2024 $119K for 2,445 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 389 | 259 | $8.65 | $3,365 |
Medicare prescription drug claims, 2024
In 2024, the drug Melissa A Gaines prescribed most often to Medicare patients was Levothyroxine Sodium, with 994 prescriptions and refills. In total Melissa A Gaines wrote 21,884 Medicare prescriptions that cost $1.6M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Levothyroxine Sodium Generic | 994 | 2,397 | 229 | $9,379 |
| Atorvastatin Calcium Generic | 831 | 2,094 | 226 | $7,943 |
| Amlodipine Besylate Generic | 613 | 1,479 | 155 | $3,588 |
| Lisinopril Generic | 572 | 1,432 | 145 | $3,559 |
| Omeprazole Generic | 557 | 1,269 | 135 | $6,063 |
| Gabapentin Generic | 544 | 923 | 115 | $7,989 |
| Losartan Potassium Generic | 542 | 1,429 | 134 | $5,577 |
| Duloxetine Hcl Generic | 473 | 876 | 91 | $12K |
| Potassium Chloride Generic | 444 | 762 | 93 | $8,191 |
| Metoprolol Succinate Generic | 442 | 1,072 | 119 | $3,776 |
| Trazodone Hcl Generic | 423 | 847 | 90 | $3,272 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 418 | 418 | 142 | $12K |
| Pravastatin Sodium Generic | 415 | 1,026 | 105 | $4,931 |
| Eliquis Apixaban | 410 | 600 | 72 | $341K |
| Spironolactone Generic | 383 | 733 | 84 | $2,884 |
Brand drugs: 2,847 claims; generic drugs: 18,911 claims; opioid claims: 1,341.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Melissa A Gaines $6,531 ($6,531 in general payments such as food, travel and fees) from 16 companies. The largest payer was Lilly USA, LLC with $5,573.
| Company | Payments | Amount |
|---|---|---|
| Lilly USA, LLC LLY | 9 | $5,573 |
| Eisai Inc. 4523.T | 9 | $333 |
| AstraZeneca Pharmaceuticals LP AZN | 9 | $191 |
| Abbott Laboratories ABT | 4 | $94.91 |
| Novo Nordisk Inc NVO | 4 | $62.82 |
| Novartis Pharmaceuticals Corporation NVS | 3 | $45.88 |
| Globus Medical, Inc. GMED | 1 | $37.03 |
| Pfizer Inc. PFE | 2 | $36.51 |
| Bayer Healthcare Pharmaceuticals Inc. BAYN.DE | 2 | $29.8 |
| E.R. Squibb & Sons, L.L.C. BMY | 1 | $22.75 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.