Capsheaf Behavioral Institute, LLC

Capsheaf Behavioral Institute, LLC was paid $25K by Medicaid between Aug 2018 and Mar 2019, across 5 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 47% of everything it billed.

33Billing provider infoCAPSHEAF BEHAVIORAL INSTITUTE, LLC
HESPERIA, CA 92345

33aNPI1760848022assigned 01/01/2016

33bProvider typeCounselor

28Total paid$25K

24GClaims194

24DCodes billed5

24AFirst – last monthAug 2018 – Mar 2019

Compared with peers

Next to other Counselor providers in California

Rank by total paid#75 of 107

Median peer was paid$68K

This provider vs. median0.4×

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	116	$13K
2019	78	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	47%	78	27	$12K
0369T		20%	27	12	$5K
0361T		19%	29	20	$5K
0368T		6.9%	31	12	$2K
0360T		6.5%	29	20	$2K

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 officialSMITH, AMESHA (EXECUTIVE DIRECTOR/CEO)