Behavioral
Hoi, Madelyn
Hoi, Madelyn was paid $165K by Medicaid between May 2023 and Jun 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 57% of everything it billed.
33Billing provider infoHOI, MADELYN
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
33aNPI1336908672assigned 03/18/2024
33bProvider typeBehavioral Analyst
28Total paid$165K
24GClaims1,031
24DCodes billed4
24AFirst – last monthMay 2023 – Jun 2024
Compared with peers
Next to other Behavioral Analyst providers in Massachusetts
Rank by total paid#84 of 150
Median peer was paid$228K
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 | |
|---|---|---|---|
| 2023 | 717 | $106K | |
| 2024incomplete | 314 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 57% | 617 | 84 | $95K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 27% | 186 | 97 | $45K |
| H0031 | Mental health assessment, by non-physician | 9.7% | 136 | 73 | $16K |
| 97156 | 5.5% | 92 | 54 | $9K |
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.