Is POSITIVE BEHAVIOR SUPPORTS flagged for Medicaid fraud?

POSITIVE BEHAVIOR SUPPORTS (NPI: 1255706628) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does POSITIVE BEHAVIOR SUPPORTS bill Medicaid?

POSITIVE BEHAVIOR SUPPORTS received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in DETROIT, MI.

What is NPI 1255706628?

NPI 1255706628 is the National Provider Identifier for POSITIVE BEHAVIOR SUPPORTS. They are a Community/Behavioral Health provider based in DETROIT, MI. This NPI is registered with the CMS NPI Registry.

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POSITIVE BEHAVIOR SUPPORTS

Community/Behavioral Health·DETROIT, MI·NPI: 1255706628Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-07→2024-12(78 months)

Total Paid

$44.9M

$44,856,182

Total Claims

238K

Beneficiaries

43K

5.5 claims/patient

Avg Cost/Claim

$189

Monthly Spending Trend

Yearly Spending

2018

$241K

+367%

2019

$1.1M

+125%

2020

$2.5M

+166%

2021

$6.7M

+50%

2022

$10.0M

+24%

2023

$12.4M

-5%

2024

$11.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 59% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$26.4M

152K claims

$173.67

$167.38

1.0×

Normal range

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$26.4M

152K claims · 58.8%

Your Cost: $173.67/claim|Median: $167.38

1.0× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$11.9M

51K claims

$231.09

$146.45

1.6×

Top 25%

97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$11.9M

51K claims · 26.4%

Your Cost: $231.09/claim|Median: $146.45

1.6× median

97156 See all providers →

$4.0M

28K claims

$142.71

$88.65

1.6×

Top 25%

97156Top 25%

$4.0M

28K claims · 8.9%

Your Cost: $142.71/claim|Median: $88.65

1.6× median

97151Behavior identification assessmentSee all providers →

$2.4M

3,745 claims

$633.38

$161.10

3.9×

Top 5%

97151Top 5%

Behavior identification assessment

$2.4M

3,745 claims · 5.3%

Your Cost: $633.38/claim|Median: $161.10

3.9× median

0365TAdaptive behavior treatment, each additional thirty minutesSee all providers →

$139K

964 claims

$144.34

$106.05

1.4×

Normal range

0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$139K

964 claims · 0.3%

Your Cost: $144.34/claim|Median: $106.05

1.4× median

0369T See all providers →

$43K

245 claims

$175.59

$102.36

1.7×

Top 25%

0369TTop 25%

$43K

245 claims · 0.1%

Your Cost: $175.59/claim|Median: $102.36

1.7× median

0364T See all providers →

$24K

914 claims

$26.49

$21.31

1.2×

Normal range

0364TNormal range

$24K

914 claims · 0.1%

Your Cost: $26.49/claim|Median: $21.31

1.2× median

0370T See all providers →

$19K

131 claims

$143.13

$88.49

1.6×

Top 5%

0370TTop 5%

$19K

131 claims · 0.0%

Your Cost: $143.13/claim|Median: $88.49

1.6× median

0368T See all providers →

$16K

259 claims

$60.00

$44.63

1.3×

Top 25%

0368TTop 25%

$16K

259 claims · 0.0%

Your Cost: $60.00/claim|Median: $44.63

1.3× median

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Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

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$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

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$1.34B

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