THE MISSING PIECE ABA THERAPY
NPI: 1063081156
· KENDALLVILLE, IN 46755
· Behavior Technician
· NPI assigned 06/22/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
$1.48M
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, SONIA (BCBA) |
| NPI Enumeration Date | 06/22/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,979 |
$1.48M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,757 |
194 |
$1.45M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
222 |
72 |
$31K |