M & R KIDS LLC
NPI: 1326409939
· FOREST HILLS, NY 11375
· Behavioral Analyst
· NPI assigned 03/09/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 97153 with only 1 total codes billed. Highly concentrated billing profile.
$3.11M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
345 |
$36K |
| 2020 |
708 |
$74K |
| 2021 |
1,510 |
$159K |
| 2022 |
7,479 |
$792K |
| 2023 |
10,308 |
$1.09M |
| 2024 |
9,002 |
$955K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
29,352 |
1,810 |
$3.11M |