Agency
Behavior Functions, INC
Behavior Functions, INC was paid $10.31M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 67% of everything it billed.
33Billing provider infoBEHAVIOR FUNCTIONS, INC
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1265794986assigned 06/08/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$10.31M
24GClaims94,592
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#90 of 633
Median peer was paid$779K
This provider vs. median13×
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.
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 | |
|---|---|---|---|
| 2018 | 20,033 | $2.11M | |
| 2019 | 26,165 | $2.82M | |
| 2020 | 19,462 | $1.94M | |
| 2021 | 13,381 | $1.37M | |
| 2022 | 3,104 | $358K | |
| 2023 | 6,259 | $796K | |
| 2024incomplete | 6,188 | $910K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 67% | 63,098 | 5,416 | $6.91M |
| H0032 | Mental health service plan development by non-physician | 18% | 16,268 | 5,075 | $1.90M |
| S5110 | Home care training, family; per 15 minutes | 13% | 13,321 | 4,698 | $1.36M |
| H2014 | Skills training and development, per 15 minutes | 1.2% | 1,848 | 530 | $121K |
| H0031 | Mental health assessment, by non-physician | <1% | 57 | 28 | $12K |
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.
From NPPES
Who's on the registration
Authorized officialNGUYEN, DREW (PRESIDENT AND CEO)