Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Justin Alan Orefice

Behavior Analyst·Laguna Hills, CA·NPI: 1225420235SharePrint ReportML Risk: 86%

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $208K is at the below 25th percentile among 31 Behavior Analyst providers.

Total Paid

$208K

$208,148

Total Claims

2,071

Beneficiaries

610

3.4 claims/patient

Avg Cost/Claim

$101

🔍 Analysis

Provider Overview

Justin Alan Orefice is a Behavior Analyst provider based in Laguna Hills, CA. From the 2018–2024 period, this provider received $208K in Medicaid payments across 2K claims serving 610 beneficiaries.

2216% growthsince first billing year

Yearly Spending

2021
$7K
+504%
2022
$42K
+283%
2023
$160K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 67% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$140K

1,323 claims · 67.3%

Your Cost: $105.81/claim|Median: $84.12
1.3× median
H0032Normal range

Mental health service plan development

$45K

460 claims · 21.6%

Your Cost: $97.66/claim|Median: $80.64
1.2× median
S5110Normal range

Home care training, family; per 15 min

$23K

288 claims · 11.2%

Your Cost: $80.68/claim|Median: $74.36
1.1× median