BEHAVIOR AND LEARNING SOLUTIONS, LLC
NPI: 1356688923
· MERRILLVILLE, IN 46410
· Behavioral Analyst
· NPI assigned 01/15/2013
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.
$5.39M
Total Medicaid Paid
Provider Details
| Authorized Official | MCNEIL, JILL (OWNER) |
| NPI Enumeration Date | 01/15/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,287 |
$249K |
| 2020 |
2,910 |
$718K |
| 2021 |
6,570 |
$1.18M |
| 2022 |
8,949 |
$1.49M |
| 2023 |
9,013 |
$1.41M |
| 2024 |
4,304 |
$333K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
23,009 |
1,230 |
$5.25M |
| 97154 |
|
9,281 |
670 |
$94K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
743 |
161 |
$45K |