KEYSTONE BEHAVIOR SERVICES, LLC
NPI: 1700405461
· KINGSTON, PA 18704
· Community/Behavioral Health Agency
· NPI assigned 04/13/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
$6.13M
Total Medicaid Paid
Provider Details
| Authorized Official | KISHBAUGH, JACQUELINE (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 04/13/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
342 |
$99K |
| 2022 |
4,003 |
$1.12M |
| 2023 |
6,413 |
$2.06M |
| 2024 |
8,692 |
$2.84M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
16,833 |
989 |
$5.53M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
2,306 |
772 |
$495K |
| 97151 |
|
311 |
52 |
$104K |