BEHAVIORAL TRANSFORMATIONS OF NC
NPI: 1841792942
· NORTH STONINGTON, CT 06359
· Behavioral Analyst
· NPI assigned 03/05/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.
$1.69M
Total Medicaid Paid
Provider Details
| Authorized Official | ROY, BRIDGET (OWNER) |
| NPI Enumeration Date | 03/05/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
290 |
$83K |
| 2022 |
327 |
$112K |
| 2023 |
4,095 |
$1.01M |
| 2024 |
1,983 |
$478K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
6,355 |
352 |
$1.64M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
340 |
96 |
$50K |