Behavioral Framework, LLC
Behavioral Framework, LLC was paid $4.26M by Medicaid between Dec 2019 and Dec 2024, across 6 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 44% of everything it billed.
ROCKVILLE, MD 20852
Next to other Community/Behavioral Health Agency providers in Maryland
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 372 | $93K | |
| 2020 | 4,541 | $1.06M | |
| 2021 | 2,634 | $849K | |
| 2022 | 2,213 | $666K | |
| 2023 | 2,188 | $725K | |
| 2024incomplete | 2,901 | $872K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 44% | 6,422 | 2,973 | $1.88M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 21% | 3,821 | 329 | $898K |
| 97151 | 17% | 1,496 | 1,447 | $715K | |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 12% | 1,578 | 105 | $528K |
| H2012 | Behavioral health day treatment, per hour | 4.9% | 1,165 | 754 | $207K |
| S5111 | Home care training, family; per session | <1% | 367 | 220 | $39K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| A Caring Alternative, LLC | Marion, NC | $3.99M |
| A Caring Alternative, LLC | Marion, NC | $2.05M |
| A Caring Alternative, LLC | Morganton, NC | $1.95M |
| A Caring Alternative, LLC | Asheville, NC | $976K |
| DRS Figueroa & Ashker, PA | Cumberland, MD | $356.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.