MISSISSIPPI BEHAVIOR SERVICES
NPI: 1134501364
· SOUTHAVEN, MS 38672
· Clinical Social Worker
· NPI assigned 06/24/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H2019 with only 3 total codes billed. Highly concentrated billing profile.
$11.07M
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, VARGAS (CEO) |
| NPI Enumeration Date | 06/24/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
311 |
$74K |
| 2019 |
2,887 |
$688K |
| 2020 |
6,224 |
$1.56M |
| 2021 |
7,604 |
$2.15M |
| 2022 |
9,108 |
$2.90M |
| 2023 |
8,016 |
$1.69M |
| 2024 |
10,104 |
$2.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
42,028 |
4,946 |
$10.80M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,519 |
237 |
$161K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
707 |
192 |
$106K |