Fowler, Darlene

Fowler, Darlene was paid $444K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 54% of everything it billed.

33Billing provider infoFOWLER, DARLENE
LEXINGTON, MA 02421

33aNPI1992040588assigned 12/07/2012

33bProvider typeBehavioral Analyst

28Total paid$444K

24GClaims2,281

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Behavioral Analyst providers in Massachusetts

Rank by total paid#56 of 150

Median peer was paid$228K

This provider vs. median1.9×

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	744	$146K
2019	1,537	$298K

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	54%	1,343	124	$238K
H0031	Mental health assessment, by non-physician	25%	511	206	$113K
H0032	Mental health service plan development by non-physician	11%	204	78	$48K
H2012	Behavioral health day treatment, per hour	10%	223	108	$45K

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.