Toth, Melissa
Toth, Melissa was paid $6K by Medicaid between Jun 2022 and Apr 2023, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 82% of everything it billed.
33Billing provider infoTOTH, MELISSA
GIBSONIA, PA 15044
GIBSONIA, PA 15044
33aNPI1902572522assigned 08/23/2021
33bProvider typeOccupational Therapist
28Total paid$6K
24GClaims203
24DCodes billed2
24AFirst – last monthJun 2022 – Apr 2023
Compared with peers
Next to other Occupational Therapist providers in Pennsylvania
Rank by total paid#160 of 222
Median peer was paid$19K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 35 | $2K | |
| 2023 | 168 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 82% | 140 | 63 | $5K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 18% | 63 | 31 | $1K |
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.