Behavioral
Medop Behavioral Health Associates PC
Medop Behavioral Health Associates PC was paid $499K by Medicaid between Jan 2018 and Apr 2021, across 14 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 34% of everything it billed.
33Billing provider infoMEDOP BEHAVIORAL HEALTH ASSOCIATES PC
OLD LYME, CT 06371
OLD LYME, CT 06371
33aNPI1053360677assigned 05/09/2006
33bProvider typeClinical Psychologist
28Total paid$499K
24GClaims68,881
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Clinical Psychologist providers in Connecticut
Rank by total paid#10 of 68
Median peer was paid$56K
This provider vs. median9.0×
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 | 41,510 | $392K | |
| 2019 | 14,794 | $67K | |
| 2020 | 10,401 | $33K | |
| 2021 | 2,176 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 34% | 16,646 | 8,916 | $171K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 29% | 19,809 | 12,799 | $147K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 23% | 23,562 | 10,024 | $113K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.0% | 4,111 | 1,620 | $20K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 1,729 | 928 | $16K |
| 99310 | Prolong nursin fac eval 15m | 2.2% | 950 | 444 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 1,115 | 848 | $11K |
| 99305 | 1.2% | 485 | 292 | $6K | |
| 99307 | <1% | 366 | 249 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 47 | 34 | $1K |
| 96116 | <1% | 14 | 12 | $362.54 | |
| 99304 | <1% | 16 | 12 | $287.04 |
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.
From NPPES
Who's on the registration
Authorized officialDOOLEY, DONNA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Medop Behavioral Health Associates of New Jersey PC | Ewing, NJ | $862K |
| Medop Behavioral Health Associates of Pennsylvania PC | Harrisburg, PA | $732K |
| Medoptions of Massachusetts LLC | Boston, MA | $690K |
| Medop Behavioral Health Associates of Maryland PC | Baltimore, MD | $458K |
| Medop Behavioral Health Associates of Rhode Island PC | Warwick, RI | $124K |
| Medoptions of Virginia LLC | Old Saybrook, CT | $239.69 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.