Behavioral
Monarch Behavioral Therapy Bii, LLC
Monarch Behavioral Therapy Bii, LLC was paid $1.19M by Medicaid between Apr 2021 and Oct 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 95% of everything it billed.
33Billing provider infoMONARCH BEHAVIORAL THERAPY BII, LLC
IRVING, TX 75063
IRVING, TX 75063
33aNPI1043456296assigned 12/17/2008
33bProvider typeBehavior Technician
28Total paid$1.19M
24GClaims3,973
24DCodes billed2
24AFirst – last monthApr 2021 – Oct 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2021 | 227 | $53K | |
| 2022 | 434 | $129K | |
| 2023 | 1,657 | $521K | |
| 2024incomplete | 1,655 | $491K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 95% | 3,526 | 323 | $1.14M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 4.6% | 447 | 141 | $55K |
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.
From NPPES
Who's on the registration
Authorized officialEDWARDS, CARLA (EXECUTIVE DIRECTOR)