GRANITE STATE ABA SERVICES
NPI: 1063964930
· NORTH CONWAY, NH 03860
· Behavioral Analyst
· NPI assigned 10/26/2016
$566K
Total Medicaid Paid
Provider Details
| Authorized Official | LOPEZ, ARIANA (ADMIN) |
| NPI Enumeration Date | 10/26/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,029 |
$312K |
| 2019 |
1,236 |
$233K |
| 2024 |
117 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,029 |
194 |
$312K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,353 |
99 |
$253K |