Agency
Keystone Behavior Services, LLC
Keystone Behavior Services, LLC was paid $6.13M by Medicaid between Nov 2021 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 90% of everything it billed.
33Billing provider infoKEYSTONE BEHAVIOR SERVICES, LLC
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1700405461assigned 04/13/2020
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$6.13M
24GClaims19,450
24DCodes billed3
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#92 of 517
Median peer was paid$1.23M
This provider vs. median5.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration90% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2021 | 342 | $99K | |
| 2022 | 4,003 | $1.12M | |
| 2023 | 6,413 | $2.06M | |
| 2024incomplete | 8,692 | $2.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 90% | 16,833 | 989 | $5.53M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 8.1% | 2,306 | 772 | $495K |
| 97151 | 1.7% | 311 | 52 | $104K |
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 officialKISHBAUGH, JACQUELINE (CLINICAL DIRECTOR)