Gilmore, Melanie

Gilmore, Melanie was paid $337K by Medicaid between Nov 2018 and Nov 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 96% of everything it billed.

33Billing provider infoGILMORE, MELANIE
ALBANY, NY 12205

33aNPI1720235880assigned 08/20/2008

33bProvider typeMental Health Counselor

28Total paid$337K

24GClaims3,730

24DCodes billed3

24AFirst – last monthNov 2018 – Nov 2024

Compared with peers

Next to other Mental Health Counselor providers in New York

Rank by total paid#118 of 529

Median peer was paid$77K

This provider vs. median4.4×

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	44	$4K
2019	331	$27K
2020	83	$6K
2021	362	$34K
2022	1,700	$154K
2023	826	$75K
2024incomplete	384	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	96%	3,617	1,617	$324K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.5%	98	98	$12K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	15	12	$562.24

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.