Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Borgos, Marlana

Borgos, Marlana was paid $216K by Medicaid between Feb 2024 and Nov 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 82% of everything it billed.

33Billing provider infoBORGOS, MARLANA
EAST GREENWICH, RI 02818
33aNPI1679064935assigned 05/22/2018
28Total paid$216K
24GClaims827
24DCodes billed3
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers

Next to other Clinical Neuropsychologist providers in Rhode Island

Rank by total paid#4 of 11
Median peer was paid$183K
This provider vs. median1.2×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete827$216K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 82% 580 40 $176K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 14% 166 38 $29K
H0031 Mental health assessment, by non-physician 4.7% 81 24 $10K

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.