Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ADAPTIVE, LLC

NPI: 1548692395 · TAMPA, FL 33614 · Behavioral Analyst · NPI assigned 08/04/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H2019 with only 3 total codes billed. Highly concentrated billing profile.

$3.15M
Total Medicaid Paid
28,144
Total Claims
7,361
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMETROULIS, MELINDA (PRESIDENT)
NPI Enumeration Date08/04/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,038 $309K
2019 3,354 $397K
2020 2,936 $285K
2021 3,966 $361K
2022 4,351 $435K
2023 4,973 $607K
2024 5,526 $760K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 27,868 7,288 $3.12M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 214 49 $27K
97156 62 24 $3K