Behavioral
Behavioral Transformations of NC
Behavioral Transformations of NC was paid $1.69M by Medicaid between Feb 2021 and Aug 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 97% of everything it billed.
33Billing provider infoBEHAVIORAL TRANSFORMATIONS OF NC
NORTH STONINGTON, CT 06359
NORTH STONINGTON, CT 06359
33aNPI1841792942assigned 03/05/2018
33bProvider typeBehavioral Analyst
28Total paid$1.69M
24GClaims6,695
24DCodes billed2
24AFirst – last monthFeb 2021 – Aug 2024
Compared with peers
Next to other Behavioral Analyst providers in Connecticut
Rank by total paid#5 of 42
Median peer was paid$264K
This provider vs. median6.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code 97153 with only 2 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 | 290 | $83K | |
| 2022 | 327 | $112K | |
| 2023 | 4,095 | $1.01M | |
| 2024incomplete | 1,983 | $478K |
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 | 97% | 6,355 | 352 | $1.64M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 3.0% | 340 | 96 | $50K |
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 officialROY, BRIDGET (OWNER)