RISE AUTISM LLC
NPI: 1053907808
· BLOOMINGTON, IN 47401
· Assistant Behavior Analyst
· NPI assigned 12/16/2020
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.
$3.95M
Total Medicaid Paid
Provider Details
| Authorized Official | GRABER, KIRK (OWNER) |
| NPI Enumeration Date | 12/16/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,306 |
$1.66M |
| 2023 |
1,182 |
$1.95M |
| 2024 |
323 |
$338K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
2,304 |
343 |
$3.76M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
507 |
170 |
$195K |