ADAPTIVE COMMUNITY SUPPORT SERVICES INC
NPI: 1770970576
· NEW ALBANY, IN 47150
· Assistant Behavior Analyst
· NPI assigned 04/20/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
$4.08M
Total Medicaid Paid
Provider Details
| Authorized Official | PELKINGTON, JULIA (REVENUE CYCLE MANAGEMENT DIRECTOR) |
| NPI Enumeration Date | 04/20/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
168 |
$35K |
| 2023 |
5,685 |
$1.70M |
| 2024 |
7,966 |
$2.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
11,880 |
802 |
$3.74M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
1,939 |
473 |
$337K |