Clinic
Adair Behavioral Services, LLC
Adair Behavioral Services, LLC was paid $1.66M by Medicaid between Apr 2022 and Nov 2024, across 2 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 97% of everything it billed.
33Billing provider infoADAIR BEHAVIORAL SERVICES, LLC
CRAIGSVILLE, VA 24430
CRAIGSVILLE, VA 24430
33aNPI1982292934assigned 01/05/2021
33bProvider typeClinic/Center
28Total paid$1.66M
24GClaims3,906
24DCodes billed2
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Virginia
Rank by total paid#6 of 50
Median peer was paid$120K
This provider vs. median14×
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 97155 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 | |
|---|---|---|---|
| 2022 | 1,015 | $576K | |
| 2023 | 2,277 | $743K | |
| 2024incomplete | 614 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 97% | 3,601 | 419 | $1.60M |
| 97151 | 3.4% | 305 | 78 | $57K |
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 officialADAIR, DARREN (EXECUTIVE DIRECTOR)