Medicaid Provider Spending

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

NPI: 1346559762 · EAGLE RIVER, AK 99577 · Behavioral Analyst · NPI assigned 10/03/2010

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

95% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.

$1.49M
Total Medicaid Paid
9,164
Total Claims
681
Beneficiaries
3
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEDGE, REBEKA (BCBA)
NPI Enumeration Date10/03/2010

Related Entities

Other providers sharing the same authorized official: EDGE, REBEKA

ProviderCityStateTotal Paid
BEHAVIOR MATTERS CALIFORNIA LLC FAIRFIELD CA $1.91M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 203 $19K
2023 4,437 $748K
2024 4,524 $727K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 8,419 440 $1.41M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 686 201 $80K
97156 59 40 $1K