ELITE HEALTHCARE GROUP INC.
NPI: 1346759925
· WINSTON SALEM, NC 27106
· Behavioral Analyst
· NPI assigned 09/26/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
$2.28M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
720 |
$204K |
| 2023 |
1,859 |
$866K |
| 2024 |
2,577 |
$1.21M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
4,831 |
364 |
$2.22M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
274 |
50 |
$51K |
| 97152 |
|
51 |
24 |
$10K |