Behavioral
Behavior and Learning Solutions, LLC
Behavior and Learning Solutions, LLC was paid $5.39M by Medicaid between Aug 2019 and Sep 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 97% of everything it billed.
33Billing provider infoBEHAVIOR AND LEARNING SOLUTIONS, LLC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1356688923assigned 01/15/2013
33bProvider typeBehavioral Analyst
28Total paid$5.39M
24GClaims33,033
24DCodes billed3
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other Behavioral Analyst providers in Indiana
Rank by total paid#12 of 54
Median peer was paid$1.73M
This provider vs. median3.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 1,287 | $249K | |
| 2020 | 2,910 | $718K | |
| 2021 | 6,570 | $1.18M | |
| 2022 | 8,949 | $1.49M | |
| 2023 | 9,013 | $1.41M | |
| 2024incomplete | 4,304 | $333K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 97% | 23,009 | 1,230 | $5.25M |
| 97154 | 1.7% | 9,281 | 670 | $94K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 743 | 161 | $45K |
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 officialMCNEIL, JILL (OWNER)