VERONICA ROBINSON, BCBA
NPI 1285085977, individual, Carmel, IN, Behavior Analyst
- Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 97153 ($15432 per patient-month) sit in the top 5% of every provider billing that code.
- 98% of Medicaid dollars are on codes with a history of abuse.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2022 | More hours than a day holds at a conservative unit price | 11.3 | 106.8 | 71.2 | 38.0 | 136 | 1 | 97153 97155 97156 | $1.7M |
| Sep 2022 | More hours than a day holds at a conservative unit price | 9.8 | 94.3 | 62.9 | 32.9 | 130 | 1 | 97153 97155 97156 | $1.5M |
| Oct 2022 | More hours than a day holds at a conservative unit price | 13.7 | 87.5 | 58.3 | 37.3 | 170 | 1 | 97151 97153 97155 97156 | $1.4M |
| Nov 2022 | More hours than a day holds at a conservative unit price | 12.8 | 92.0 | 61.4 | 37.4 | 149 | 1 | 97151 97153 97155 97156 | $1.4M |
| Dec 2022 | More hours than a day holds at a conservative unit price | 12.2 | 95.4 | 63.6 | 44.2 | 211 | 1 | 97151 97153 97155 97156 | $1.4M |
| Jan 2023 | More hours than a day holds at a conservative unit price | 18.9 | 100.2 | 66.8 | 45.5 | 236 | 1 | 97151 97153 97155 97156 | $2.0M |
| Feb 2023 | More hours than a day holds at a conservative unit price | 19.6 | 110.5 | 73.7 | 45.3 | 236 | 1 | 97151 97153 97155 97156 | $2.1M |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VERONICA ROBINSON, BCBA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 24, 2016, last updated August 18, 2020 |
| Practice location | 1201 GOLFVIEW DR, APT F, Carmel, IN 46032-4727, 317-937-5191 |
| Mailing address | 7405 WESTFIELD BLVD, Indianapolis, IN 46240-3056 |
| Specialties | Behavior Analyst (103K00000X, primary, license 1-16-22488 IN) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $14.5M | 81% | $15K | $2K (top 5% from $6K) | 100th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $3.0M | 17% | $3K | $512 (top 5% from $1K) | 100th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $246K | 1% | $1K | $389 (top 5% from $1K) | 98th percentile | |
| 97156 | Family adaptive behavior treatment guidance | $85K | 0% | $228 | $210 (top 5% from $547) | 55th percentile |
In this area
17 providers in Hamilton County, IN carry an indicator in the public record, with $39.7M at stake between them. The most common is more hours than a day holds, on 12 of them, followed by part of a provider network on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Carmel, IN, ranked 3318 | $0 |
|
| 3 | LEGACY HOSPICE LLC Carmel, IN, ranked 4561 | $0 |
|
| 3 | CARE HOSPICE SERVICES LLC Carmel, IN, ranked 5363 | $0 |
|
| 3 | SAANVI GROUP LLC Carmel, IN, ranked 5683 | $0 |
|
| 3 | LUMINARY HOSPICE OF INDIANA, LLC Carmel, IN, ranked 7164 | $0 |
|
| 4 | ELIZABETH DIMOVSKI-JACKSON Carmel, IN, ranked 7276 | $16.7M |
|
| 4 | AARIKA WHITE Noblesville, IN, ranked 7286 | $5.3M |
|
| 4 | JINGER ATTEBERRY-BENNETT Indianapolis, IN, ranked 8100 | $3.5M |
|
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.