Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Earls, Melissa

Earls, Melissa was paid $139K by Medicaid between Oct 2020 and Sep 2024, across 4 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 49% of everything it billed.

33Billing provider infoEARLS, MELISSA
MISSOURI CITY, TX 77459
33aNPI1275628786assigned 10/03/2006
33bProvider typeProfessional Counselor
28Total paid$139K
24GClaims2,183
24DCodes billed4
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers

Next to other Professional Counselor providers in Texas

Rank by total paid#270 of 854
Median peer was paid$56K
This provider vs. median2.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202071$4K
2021129$10K
2022332$19K
20231,130$76K
2024incomplete521$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 49% 1,256 638 $68K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 45% 777 453 $63K
90847 Family psychotherapy with the patient present, 50 minutes 4.2% 100 57 $6K
90846 Family psychotherapy without the patient present, 50 minutes 1.9% 50 44 $3K

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.