Behavioral
Pillar 5
Pillar 5 was paid $1.33M by Medicaid between Apr 2023 and Nov 2024, across 2 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 90% of everything it billed.
33Billing provider infoPILLAR 5
ARCATA, CA 95521
ARCATA, CA 95521
33aNPI1407572886assigned 10/17/2022
33bProvider typeAssistant Behavior Analyst
28Total paid$1.33M
24GClaims6,055
24DCodes billed2
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers
Next to other Assistant Behavior Analyst providers in California
Rank by total paid#7 of 17
Median peer was paid$605K
This provider vs. median2.2×
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 Concentration90% of spending on code H2014 with only 2 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 | |
|---|---|---|---|
| 2023 | 2,614 | $571K | |
| 2024incomplete | 3,441 | $759K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 90% | 3,139 | 252 | $1.20M |
| A0425 | Ground mileage, per statute mile | 10.0% | 2,916 | 312 | $133K |
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 officialDECARLI, THOMAS (PRESIDENT/BCBA)