Behavioral Concepts LLC

Behavioral Concepts LLC was paid $6.11M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 61% of everything it billed.

33Billing provider infoBEHAVIORAL CONCEPTS LLC
LAGUNA HILLS, CA 92653

33aNPI1669891644assigned 04/07/2014

33bProvider typeIntellectual and/or Developmental Disabilities Residential Treatment Facility

28Total paid$6.11M

24GClaims56,251

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in California

Rank by total paid#5 of 28

Median peer was paid$2.00M

This provider vs. median3.1×

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.

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
2018	8,012	$814K
2019	12,199	$1.25M
2020	12,353	$1.16M
2021	11,951	$1.16M
2023	2,716	$364K
2024incomplete	9,020	$1.36M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	61%	35,728	3,133	$3.76M
H0032	Mental health service plan development by non-physician	25%	12,437	3,176	$1.51M
S5110	Home care training, family; per 15 minutes	14%	8,005	2,692	$827K
H2014	Skills training and development, per 15 minutes	<1%	52	14	$12K
H0031	Mental health assessment, by non-physician	<1%	29	13	$7K

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 officialRIQUELME, CLAUDIA (CLINICAL EXECUTIVE DIRECTOR)