PILLAR 5
NPI: 1407572886
· ARCATA, CA 95521
· Assistant Behavior Analyst
· NPI assigned 10/17/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code H2014 with only 2 total codes billed. Highly concentrated billing profile.
$1.33M
Total Medicaid Paid
Provider Details
| Authorized Official | DECARLI, THOMAS (PRESIDENT/BCBA) |
| NPI Enumeration Date | 10/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
2,614 |
$571K |
| 2024 |
3,441 |
$759K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2014 |
Skills training and development, per 15 minutes |
3,139 |
252 |
$1.20M |
| A0425 |
Ground mileage, per statute mile |
2,916 |
312 |
$133K |