Behavioral
Medoptions of Massachusetts LLC
Medoptions of Massachusetts LLC was paid $690K by Medicaid between Jan 2018 and Apr 2021, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 35% of everything it billed.
33Billing provider infoMEDOPTIONS OF MASSACHUSETTS LLC
BOSTON, MA 02109
BOSTON, MA 02109
33aNPI1053527028assigned 05/15/2007
33bProvider typeClinical Psychologist
28Total paid$690K
24GClaims82,249
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Clinical Psychologist providers in Massachusetts
Rank by total paid#7 of 103
Median peer was paid$35K
This provider vs. median20×
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 | 36,394 | $314K | |
| 2019 | 23,480 | $183K | |
| 2020 | 17,018 | $153K | |
| 2021 | 5,357 | $40K |
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 | 35% | 20,925 | 16,980 | $239K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 25% | 23,061 | 20,567 | $175K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 25% | 27,026 | 14,273 | $171K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.1% | 3,038 | 2,937 | $35K |
| 99305 | 3.2% | 1,338 | 1,313 | $22K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 3,650 | 1,772 | $22K |
| 99310 | Prolong nursin fac eval 15m | 1.4% | 857 | 697 | $10K |
| 96116 | <1% | 177 | 176 | $5K | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 298 | 250 | $3K |
| 99306 | Prolong nursin fac eval 15m | <1% | 118 | 116 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,413 | 548 | $2K |
| 99304 | <1% | 87 | 87 | $1K |
4 more codes
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 (CFO)
| Provider | Location | Paid |
|---|---|---|
| Medop Behavioral Health Associates of New Jersey PC | Ewing, NJ | $862K |
| Medop Behavioral Health Associates of Pennsylvania PC | Harrisburg, PA | $732K |
| Medop Behavioral Health Associates PC | Old Lyme, CT | $499K |
| 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.