Is LITTLE STAR CENTER, INC. flagged for Medicaid fraud?

LITTLE STAR CENTER, INC. (NPI: 1285804732) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does LITTLE STAR CENTER, INC. bill Medicaid?

LITTLE STAR CENTER, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Early Intervention Provider Agency provider. Located in CARMEL, IN.

What is NPI 1285804732?

NPI 1285804732 is the National Provider Identifier for LITTLE STAR CENTER, INC.. They are a Early Intervention Provider Agency provider based in CARMEL, IN. This NPI is registered with the CMS NPI Registry.

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LITTLE STAR CENTER, INC.

Early Intervention Provider Agency·CARMEL, IN·NPI: 1285804732Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.7M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

Active Billing Period:2018-01→2024-11(70 months)

Total Paid

$22.7M

$22,743,154

Total Claims

114K

Beneficiaries

11K

10.1 claims/patient

Avg Cost/Claim

$200

Monthly Spending Trend

Yearly Spending

2018

$2.3M

+56%

2019

$3.6M

+78%

2020

$6.4M

+35%

2021

$8.7M

-90%

2022

$857K

-83%

2023

$142K

+349%

2024

$640K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 77% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$17.6M

66K claims

$265.46

$167.38

1.6×

Top 25%

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$17.6M

66K claims · 77.3%

Your Cost: $265.46/claim|Median: $167.38

1.6× median

96152Health behavior intervention, individualSee all providers →

$2.1M

9,354 claims

$223.19

$20.02

11.1×

Top 5%

96152Top 5%

Health behavior intervention, individual

$2.1M

9,354 claims · 9.2%

Your Cost: $223.19/claim|Median: $20.02

11.1× median

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

$1.9M

26K claims

$74.52

$146.45

0.5×

Normal range

97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.9M

26K claims · 8.4%

Your Cost: $74.52/claim|Median: $146.45

0.5× median

S5151Unskilled respite care, per diemSee all providers →

$550K

3,185 claims

$172.75

$249.18

0.7×

Normal range

S5151Normal range

Unskilled respite care, per diem

$550K

3,185 claims · 2.4%

Your Cost: $172.75/claim|Median: $249.18

0.7× median

96151Health behavior reassessmentSee all providers →

$368K

5,844 claims

$62.98

$15.43

4.1×

Top 10%

96151Top 10%

Health behavior reassessment

$368K

5,844 claims · 1.6%

Your Cost: $62.98/claim|Median: $15.43

4.1× median

T2033Residential care, NOS; per diemSee all providers →

$87K

471 claims

$185.51

$1,051.57

0.2×

Normal range

T2033Normal range

Residential care, NOS; per diem

$87K

471 claims · 0.4%

Your Cost: $185.51/claim|Median: $1,051.57

0.2× median

97151Behavior identification assessmentSee all providers →

$81K

1,402 claims

$58.12

$161.10

0.4×

Normal range

97151Normal range

Behavior identification assessment

$81K

1,402 claims · 0.4%

Your Cost: $58.12/claim|Median: $161.10

0.4× median

97156 See all providers →

$22K

765 claims

$29.04

$88.65

0.3×

Normal range

97156Normal range

$22K

765 claims · 0.1%

Your Cost: $29.04/claim|Median: $88.65

0.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$21K

261 claims

$81.73

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$21K

261 claims · 0.1%

Your Cost: $81.73/claim|Median: $99.21

0.8× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$17K

188 claims

$88.00

$74.63

1.2×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$17K

188 claims · 0.1%

Your Cost: $88.00/claim|Median: $74.63

1.2× median

96131Psychological testing evaluation, each additional hourSee all providers →

$3K

57 claims

$46.11

$133.38

0.3×

Normal range

96131Normal range

Psychological testing evaluation, each additional hour

$3K

57 claims · 0.0%

Your Cost: $46.11/claim|Median: $133.38

0.3× median

96113Developmental test admin, each additional 30 minSee all providers →

$2K

12 claims

$179.78

$77.06

2.3×

Top 25%

96113Top 25%

Developmental test admin, each additional 30 min

$2K

12 claims · 0.0%

Your Cost: $179.78/claim|Median: $77.06

2.3× median

96130Psychological testing evaluation by professional, first hourSee all providers →

$2K

55 claims

$36.08

$79.21

0.5×

Normal range

96130Normal range

Psychological testing evaluation by professional, first hour

$2K

55 claims · 0.0%

Your Cost: $36.08/claim|Median: $79.21

0.5× median

96112Developmental test administrationSee all providers →

$1K

13 claims

$93.18

$102.95

0.9×

Normal range

96112Normal range

Developmental test administration

$1K

13 claims · 0.0%

Your Cost: $93.18/claim|Median: $102.95

0.9× median

90785 See all providers →

$861

95 claims

$9.06

$6.43

1.4×

Normal range

90785Normal range

$861

95 claims · 0.0%

Your Cost: $9.06/claim|Median: $6.43

1.4× median

96136Psychological/neuropsychological testing, first 30 minSee all providers →

$779

53 claims

$14.69

$30.49

0.5×

Normal range

96136Normal range

Psychological/neuropsychological testing, first 30 min

$779

53 claims · 0.0%

Your Cost: $14.69/claim|Median: $30.49

0.5× median

96137Psychological/neuropsychological testing, each additional 30 minSee all providers →

$688

53 claims

$12.98

$92.96

0.1×

Normal range

96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$688

53 claims · 0.0%

Your Cost: $12.98/claim|Median: $92.96

0.1× median

96101 See all providers →

$474

18 claims

$26.36

$196.08

0.1×

Normal range

96101Normal range

$474

18 claims · 0.0%

Your Cost: $26.36/claim|Median: $196.08

0.1× median

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