Providers
MAYELIN MORALES
NPI 1790220911, individual, Tavernier, FL, Counselor, Mental Health
5
Evidence tier
informational
- Medicaid dollars per patient on code H2017 ($1844 per patient-month) sit in the top 5% of every provider billing that code.
- 72% of Medicaid dollars are on codes with a history of abuse.
score 38 of 100, rank 9797, $15.5M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAYELIN MORALES |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 24, 2016, last updated August 4, 2026 |
| Practice location | 92300 OVERSEAS HWY STE 302, Tavernier, FL 33070-2726, 305-975-3126 |
| Mailing address | 1530 SW 150TH AVE, Miami, FL 33194-2540 |
| Specialties | Social Worker, Clinical (1041C0700X, license SW14143 FL) Counselor, Mental Health (101YM0800X, primary) Behavior Analyst (103K00000X, license 1-26-2831848 FL) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $12.1M | 72% | $2K | $310 (top 5% from $1K) | 98th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $3.7M | 22% | $574 | $226 (top 5% from $1K) | 85th percentile | |
| T1017 | Targeted case management each 15 min | $915K | 5% | $792 | $167 (top 5% from $808) | 95th percentile | |
| H0032 | Medicaid service code | $31K | 0% | $50 | $98 (top 5% from $675) | 14th percentile | |
| H0031 | Medicaid service code | $21K | 0% | $38 | $100 (top 5% from $540) | 19th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $4K | 0% | $375 | $512 (top 5% from $1K) | too few months to rank | |
| T1016 | Case management each 15 min | $0 | 0% | $0.00 | $98 (top 5% from $507) | 0th percentile |
In this area
5 providers in Monroe County, FL carry an indicator in the public record, with $2.4M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | KEY WEST HHA, LLC Key West, FL, ranked 2011 | $0 |
|
| 3 | CRYSTAL HEALTH FL OPCO LLC Tavernier, FL, ranked 5259 | $0 |
|
| 3 | OASIS AT KEY WEST NURSING AND REHAB LLC Key West, FL, ranked 5885 | $0 |
|
| 5 | TAYMI RODRIGUEZ Key Largo, FL, ranked 9845 | $1.0M |
|
| 5 | JULIA WILLIAMS Key Largo, FL, ranked 10925 | $1.3M |
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
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.