MELODY E MARLEY, PhD, HSPP
NPI 1710078555, individual, Kokomo, IN, Psychologist, Clinical
- 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.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MELODY E MARLEY, PhD, HSPP (also MELODY EDGE) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 27, 2006, last updated September 11, 2023 |
| Practice location | 1810 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $1.8M | 47% | $8K | $2K (top 5% from $6K) | 97th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.6M | 41% | $158 | $191 (top 5% from $442) | 35th percentile | |
| 90834 | Psychotherapy, 45 minutes | $158K | 4% | $73 | $101 (top 5% from $318) | 31st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $134K | 3% | $97 | $105 (top 5% from $228) | 43rd percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $112K | 3% | $541 | $512 (top 5% from $1K) | 55th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $48K | 1% | $74 | $130 (top 5% from $458) | 15th percentile | |
| 90832 | Psychotherapy, 30 minutes | $16K | 0% | $53 | $59 (top 5% from $239) | 44th percentile | |
| 97156 | Family adaptive behavior treatment guidance | $2K | 0% | $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.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PUTNAM COUNTY HOSPITAL Greentown, IN, ranked 3456 | $0 |
|
| 4 | KEVIN DUGAN Kokomo, IN, ranked 7584 | $2.8M |
|
| 4 | JOHN SCHILTZ Kokomo, IN, ranked 8291 | $10.5M |
|
| 4 | LAXESHKUMAR PATEL Kokomo, IN, ranked 8317 | $8.2M |
|
| 5 | SHERYAR SARWAR Kokomo, IN, ranked 11175 | $573K |
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.