MELISSA ANN JONES, PhD
NPI 1164592895, individual, Evansville, IN, Psychologist
- Hours beyond a day in 2 months, but with up to 509 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 28.1 | 16.5 | 11.0 | 15.0 | 387 | 1 | 90791 90832 90834 90837 90847 | $35K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 12.9 | 8.6 | 11.6 | 385 | 1 | 90791 90832 90834 90837 90847 | $29K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MELISSA ANN JONES, PhD |
| Type | Individual |
| Status | Active |
| NPI issued | November 9, 2006, last updated December 16, 2015 |
| Practice location | 4411 WASHINGTON AVE, STE. 200, Evansville, IN 47714-0805, 812-479-1916 |
| Specialties | Psychologist (103T00000X, primary, license 20042087A IN) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.3M | 53% | $83 | $101 (top 5% from $318) | 38th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $474K | 20% | $138 | $191 (top 5% from $442) | 26th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $396K | 17% | $94 | $105 (top 5% from $228) | 39th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $143K | 6% | $83 | $130 (top 5% from $458) | 20th percentile | |
| 90832 | Psychotherapy, 30 minutes | $52K | 2% | $48 | $59 (top 5% from $239) | 38th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $47K | 2% | $10 | $15 (top 5% from $35) | 33rd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $4K | 0% | $37 | $60 (top 5% from $332) | 30th percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $3K | 0% | $134 | $170 (top 5% from $515) | too few months to rank |
In this area
8 providers in Vanderburgh County, IN carry an indicator in the public record, with $46.0M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 2200 | $0 |
|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 6968 | $0 |
|
| 4 | BACHAR MALEK Evansville, IN, ranked 7354 | $16.5M |
|
| 4 | WILLARD WHITEHEAD Evansville, IN, ranked 8037 | $19.2M |
|
| 4 | DAVID CERLING Evansville, IN, ranked 8675 | $2.3M |
|
| 5 | ROBERT ALLEY Evansville, IN, ranked 10487 | $6.7M |
|
| 5 | SHANNON JONES Evansville, IN, ranked 10949 | $1.2M | |
| 5 | MEREDITH BEAN Evansville, IN, ranked 11523 | $156K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.