Doornek, Melissa

Doornek, Melissa was paid $486K by Medicaid between Mar 2018 and Mar 2019, across 8 billing codes. Its largest line is 0365T, — 32% of everything it billed.

33Billing provider infoDOORNEK, MELISSA
DELAFIELD, WI 53018

33aNPI1013339639assigned 01/16/2014

33bProvider typeBehavioral Analyst

28Total paid$486K

24GClaims10,581

24DCodes billed8

24AFirst – last monthMar 2018 – Mar 2019

Compared with peers

Next to other Behavioral Analyst providers in Wisconsin

Rank by total paid#59 of 109

Median peer was paid$661K

This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	9,479	$384K
2019	1,102	$102K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0365T		32%	3,070	187	$155K
0369T		23%	1,397	209	$114K
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	10%	693	54	$51K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	10%	386	53	$49K
0368T		8.7%	1,445	209	$42K
0364T		8.7%	3,155	187	$42K
0370T		6.1%	412	152	$30K
97156		<1%	23	12	$2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.