Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TO THE MOON PLLC

NPI: 1861149510 · RICHMOND, VA 23238 · Developmental Disabilities Clinic/Center · NPI assigned 03/02/2022

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.

$1.21M
Total Medicaid Paid
5,521
Total Claims
456
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKHIMANI, LIZNA (BCBA)
NPI Enumeration Date03/02/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,255 $478K
2024 3,266 $729K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 5,372 389 $1.18M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 98 40 $20K
97156 51 27 $6K