Behavioral
Cummings, Annmarie
Cummings, Annmarie was paid $1.42M by Medicaid between Jul 2019 and Jul 2024, across 7 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 57% of everything it billed.
33Billing provider infoCUMMINGS, ANNMARIE
PEMBROKE, MA 02359
PEMBROKE, MA 02359
33aNPI1780116236assigned 04/03/2017
33bProvider typeBehavioral Analyst
28Total paid$1.42M
24GClaims13,386
24DCodes billed7
24AFirst – last monthJul 2019 – Jul 2024
Compared with peers
Next to other Behavioral Analyst providers in Massachusetts
Rank by total paid#29 of 150
Median peer was paid$228K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2019 | 1,308 | $130K | |
| 2020 | 5,108 | $570K | |
| 2021 | 4,629 | $501K | |
| 2022 | 1,882 | $197K | |
| 2024incomplete | 459 | $21K |
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 | 57% | 8,367 | 1,005 | $812K |
| H0032 | Mental health service plan development by non-physician | 20% | 1,846 | 585 | $277K |
| H0031 | Mental health assessment, by non-physician | 11% | 1,502 | 568 | $159K |
| H2012 | Behavioral health day treatment, per hour | 11% | 1,212 | 514 | $150K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 1.3% | 375 | 60 | $19K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 58 | 26 | $2K |
| 97156 | <1% | 26 | 16 | $354.11 |
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.