MONARCH BEHAVIORAL THERAPY BII, LLC
NPI: 1043456296
· IRVING, TX 75063
· Behavior Technician
· NPI assigned 12/17/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
$1.19M
Total Medicaid Paid
Provider Details
| Authorized Official | EDWARDS, CARLA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
227 |
$53K |
| 2022 |
434 |
$129K |
| 2023 |
1,657 |
$521K |
| 2024 |
1,655 |
$491K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,526 |
323 |
$1.14M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
447 |
141 |
$55K |