Providers

MELODY E MARLEY, PhD, HSPP

NPI 1710078555, individual, Kokomo, IN, Psychologist, Clinical

5
Evidence tier
informational
  • Medicaid dollars per patient on code 97153 ($7643 per patient-month) sit in the top 5% of every provider billing that code.
  • 91% of Medicaid dollars are on codes with a history of abuse.
score 37 of 100, rank 9827, $2.8M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMELODY E MARLEY, PhD, HSPP (also MELODY EDGE)
TypeIndividual, sole proprietor
StatusActive
NPI issuedSeptember 27, 2006, last updated September 11, 2023
Practice location1810 DOGWOOD DR, Kokomo, IN 46902-5737, 765-553-5691
Specialties
Psychologist (103T00000X, license 20042895A IN)
Psychologist, Counseling (103TC1900X, license 20042895A IN)
Psychologist, Health Service (103TH0100X, license 20042895A IN)
Psychologist, Clinical (103TC0700X, primary, license 20042895A 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
97153Adaptive behavior treatment by protocol by technicianhistory of abuse$1.8M47%$8K$2K (top 5% from $6K)97th percentile
90837Psychotherapy, 1 hourhistory of abuse$1.6M41%$158$191 (top 5% from $442)35th percentile
90834Psychotherapy, 45 minutes$158K4%$73$101 (top 5% from $318)31st percentile
90791Psychiatric diagnostic evaluation$134K3%$97$105 (top 5% from $228)43rd percentile
97155Adaptive behavior treatment with protocol modification by QHPhistory of abuse$112K3%$541$512 (top 5% from $1K)55th percentile
90847Family psychotherapy with patient, 50 minutes$48K1%$74$130 (top 5% from $458)15th percentile
90832Psychotherapy, 30 minutes$16K0%$53$59 (top 5% from $239)44th percentile
97156Family adaptive behavior treatment guidance$2K0%$124$210 (top 5% from $547)too few months to rank

In this area

5 providers in Howard County, IN carry an indicator in the public record, with $22.1M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3PUTNAM COUNTY HOSPITAL
Greentown, IN, ranked 3456
$0
  • Part of provider network D1-00059, ranked 59 nationally.
4KEVIN DUGAN
Kokomo, IN, ranked 7584
$2.8M
  • Hours beyond a day in 15 months, but with up to 678 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4JOHN SCHILTZ
Kokomo, IN, ranked 8291
$10.5M
  • Hours beyond a day in 10 months, but with up to 1801 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4LAXESHKUMAR PATEL
Kokomo, IN, ranked 8317
$8.2M
  • Hours beyond a day in 20 months, but with up to 1666 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5SHERYAR SARWAR
Kokomo, IN, ranked 11175
$573K

Recent enforcement in IN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.

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.

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