Medicaid Provider Spending

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

POSITIVE PATHWAYS COUNSELING AND BEHAVIORAL HEALTH SERVICES, LLC

NPI: 1588220768 · SOUTH BOSTON, VA 24592 · Community/Behavioral Health Agency · NPI assigned 05/14/2019

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

100% of spending on code 97153 with only 1 total codes billed. Highly concentrated billing profile.

$1.19M
Total Medicaid Paid
3,491
Total Claims
300
Beneficiaries
1
Codes Billed
2022-09
First Month
2024-03
Last Month

Provider Details

Authorized OfficialROSS, TAMARA (OWNER)
NPI Enumeration Date05/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 301 $234K
2023 2,426 $778K
2024 764 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 3,491 300 $1.19M