Medicaid Provider Spending

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

HUMMINGBIRDS BEHAVIORAL THERAPY LLC

NPI: 1326649807 · ONTARIO, CA 91761 · Behavioral Analyst · NPI assigned 11/03/2020

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

99% of spending on code H0032 with only 3 total codes billed. Highly concentrated billing profile.

$2.38M
Total Medicaid Paid
10,255
Total Claims
3,398
Beneficiaries
3
Codes Billed
2021-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSANTOS, LILIA (EXECUTIVE CLINICAL DIRECTOR)
NPI Enumeration Date11/03/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,515 $316K
2022 2,760 $718K
2023 2,904 $736K
2024 3,076 $610K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0032 Mental health service plan development by non-physician 10,190 3,358 $2.36M
H0031 Mental health assessment, by non-physician 16 15 $14K
H2019 Therapeutic behavioral services, per 15 minutes 49 25 $5K