Mccarthy-Pepin, Melanie

Mccarthy-Pepin, Melanie was paid $3.89M by Medicaid between Jul 2021 and Mar 2023, across 7 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 44% of everything it billed.

33Billing provider infoMCCARTHY-PEPIN, MELANIE
DARTMOUTH, MA 02747

33aNPI1619259058assigned 09/12/2011

33bProvider typeBehavioral Analyst

28Total paid$3.89M

24GClaims14,540

24DCodes billed7

24AFirst – last monthJul 2021 – Mar 2023

Compared with peers

Next to other Behavioral Analyst providers in Massachusetts

Rank by total paid#12 of 150

Median peer was paid$228K

This provider vs. median17×

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
2021	3,052	$769K
2022	9,128	$2.45M
2023	2,360	$669K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	44%	5,343	342	$1.73M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	24%	2,696	166	$915K
H0032	Mental health service plan development by non-physician	16%	2,797	337	$613K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	6.9%	1,096	160	$269K
H0031	Mental health assessment, by non-physician	5.7%	1,191	395	$220K
97156		3.1%	1,225	390	$120K
H2012	Behavioral health day treatment, per hour	<1%	192	57	$22K

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.