Providers
CRYSTAL PFEILER, BCaBA
NPI 1043859010, individual, Greenville, SC, Assistant Behavior Analyst
5
Evidence tier
informational
- 98% of Medicaid dollars are on codes with a history of abuse.
score 33 of 100, rank 10569, $1.1M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CRYSTAL PFEILER, BCaBA |
| Type | Individual |
| Status | Active |
| NPI issued | December 23, 2019, last updated August 5, 2026 |
| Practice location | 1708 AUGUSTA ST STE 226, Greenville, SC 29605-6513, 855-832-6727 |
| Mailing address | 7108 S KANNER HWY, Stuart, FL 34997-7462 |
| Specialties | Behavior Analyst (103K00000X) Assistant Behavior Analyst (106E00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $4.6M | 80% | $3K | $2K (top 5% from $6K) | 75th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $1.0M | 18% | $690 | $512 (top 5% from $1K) | 71st percentile | |
| 97156 | Family adaptive behavior treatment guidance | $98K | 2% | $249 | $210 (top 5% from $547) | 59th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $17K | 0% | $188 | $389 (top 5% from $1K) | too few months to rank | |
| 0365T | Adaptive behavior treatment by protocol each addl 30 min (pre-2019) | $7K | 0% | $615 | $2K (top 5% from $4K) | too few months to rank | |
| 0364T | Adaptive behavior treatment by protocol first 30 min (pre-2019) | $1K | 0% | $101 | $303 (top 5% from $1K) | too few months to rank |
In this area
8 providers in Greenville County, SC carry an indicator in the public record, with $1.4M at stake between them. The most common is part of a provider network, on 6 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ACHIEVE BEHAVIORAL HEALTH PA Greenville, SC, ranked 224 | $27K |
|
| 3 | INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1077 | $794K |
|
| 3 | INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1313 | $145K |
|
| 3 | FAMILY HOSPICE OF GREENVILLE, LLC Greenville, SC, ranked 1998 | $0 |
|
| 3 | BEREA COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2663 | $0 |
|
| 3 | REEDY RIVER COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2973 | $0 |
|
| 3 | ROLLING GREEN VILLAGE Greenville, SC, ranked 3033 | $0 |
|
| 4 | TERESA THOMPSON Taylors, SC, ranked 8238 | $414K |
|
Recent enforcement in SC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedMar 11, 2026
Former Greenville CEO, Employees Indicted in Multi-Million Dollar Health Care Fraud Scheme
The defendants submitted false claims to health care benefit programs for individual COVID-19 tests that had actually been pooled for combined processing and manipulated test processing software, billing for tests that were virtually worthless and ineligible for reimbursement.
DOJSentencedFeb 25, 2026
Lancaster Trio Sentenced for Health Care Fraud Conspiracy
An excluded Medicaid provider and his wife established Transformation Services in her name to bill Medicaid for behavioral health services that were overlapping, not rendered individually, and provided by unlicensed therapists, defrauding Medicaid of nearly $250,000.
DOJIndictedNov 18, 2025
Florida Man Indicted for Health Care Fraud, Wire Fraud in Durable Medical Equipment Scheme
Weinberger, who was excluded from Medicare, allegedly concealed his ownership and control of a Medicare-enrolled durable medical equipment company through a false enrollment document and, with coconspirators, used call centers to generate doctors' orders for orthotic braces and submit approximately $6.7 million in false and fraudulent claims obtained through kickbacks and bribes, medically unnecessary, or otherwise ineligible for reimbursement.
DOJCivil judgmentJul 17, 2025
United States and the States of Georgia, Colorado, and South Carolina Obtain $114.5M in Judgments in a Sprawling Cancer Genetic Testing Lab Scheme
Premier Medical, its owner and compliance vice president paid kickbacks to Freedom Medical Labs and its marketers, who collected DNA samples from Medicaid beneficiaries in public spaces and purchased telemedicine physician orders, to bill Medicaid for medically unnecessary cancer genetic testing.
DOJIndictedJun 30, 2025
S.C. Cases Among Hundreds Announced in National Health Care Fraud Takedown
Two defendants were charged with submitting false claims to Medicare and Medicaid for durable medical equipment that was not delivered or authorized, and with billing the Veterans Administration for massage therapy services not rendered.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.