Behavioral
Melendez, Karilma
Melendez, Karilma was paid $26K by Medicaid between Jul 2023 and Nov 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 61% of everything it billed.
33Billing provider infoMELENDEZ, KARILMA
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1962153965assigned 01/12/2022
33bProvider typePsychologist
28Total paid$26K
24GClaims289
24DCodes billed2
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Psychologist providers in Puerto Rico
Rank by total paid#24 of 80
Median peer was paid$3K
This provider vs. median9.7×
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 | 203 | $20K | |
| 2024incomplete | 86 | $6K |
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 | 61% | 211 | 160 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 39% | 78 | 39 | $10K |
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.