BEHAVIOR THERAPY SERVICE, LLC
NPI: 1588267058
· LAS CRUCES, NM 88012
· Social Worker
· NPI assigned 11/18/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2019 with only 1 total codes billed. Highly concentrated billing profile.
$1.57M
Total Medicaid Paid
Provider Details
| Authorized Official | ROURKE, MICHAEL (LICENSED CLINICAL SOCIAL WORKER) |
| NPI Enumeration Date | 11/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
236 |
$14K |
| 2021 |
5,476 |
$368K |
| 2022 |
4,982 |
$419K |
| 2023 |
5,186 |
$510K |
| 2024 |
2,792 |
$264K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
18,672 |
3,213 |
$1.57M |