Behavioral
Lowin, Rivka
Lowin, Rivka was paid $1.02M by Medicaid between Feb 2024 and Oct 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 95% of everything it billed.
33Billing provider infoLOWIN, RIVKA
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1174256234assigned 07/06/2022
33bProvider typeBehavioral Analyst
28Total paid$1.02M
24GClaims2,838
24DCodes billed2
24AFirst – last monthFeb 2024 – Oct 2024
Compared with peers
Next to other Behavioral Analyst providers in New Jersey
Rank by total paid#20 of 58
Median peer was paid$293K
This provider vs. median3.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 2,838 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 95% | 2,530 | 132 | $975K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 4.6% | 308 | 89 | $47K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.