Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KEYSTONE ACHIEVEMENTS

NPI: 1225651839 · COLORADO SPRINGS, CO 80916 · Behavioral Analyst · NPI assigned 05/19/2020

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

90% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.

$2.64M
Total Medicaid Paid
4,037
Total Claims
1,062
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCLANE, TODD (OWNER)
NPI Enumeration Date05/19/2020

Related Entities

Other providers sharing the same authorized official: MCLANE, TODD

ProviderCityStateTotal Paid
KEYSTONE ACHIEVEMENTS COLORADO SPRINGS CO $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 385 $298K
2021 683 $658K
2022 1,081 $515K
2023 1,124 $585K
2024 764 $582K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 2,847 638 $2.38M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 1,190 424 $256K