MGA BEHAVIOR THERAPY LLC
NPI: 1780252858
· COLORADO SPRINGS, CO 80907
· Community/Behavioral Health Agency
· NPI assigned 06/15/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
$1.35M
Total Medicaid Paid
Provider Details
| Authorized Official | GRANT, JUSTIN (VICE PRESIDENT) |
| NPI Enumeration Date | 06/15/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
406 |
$99K |
| 2023 |
934 |
$321K |
| 2024 |
2,922 |
$928K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,644 |
387 |
$1.26M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
618 |
146 |
$87K |