BILLY JOHN RUSH, MS, BCBA, LBA

NPI 1659723260, individual, Carriere, MS, Behavior Analyst

Evidence tier

informational

score 31 of 100, rank 10966, $1.2M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	BILLY JOHN RUSH, MS, BCBA, LBA (also BILLY RUSH)
Type	Individual
Status	Active
NPI issued	July 7, 2016, last updated June 26, 2024
Practice location	120 SMITH ST APT A, Carriere, MS 39426-8304, 601-799-7874
Mailing address	120 SMITH ST, Carriere, MS 39426-8304
Specialties	Behavior Analyst (103K00000X, 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	$1.1M	49%	$3K	$2K (top 5% from $6K)	72nd percentile
0365T	Adaptive behavior treatment by protocol each addl 30 min (pre-2019)	$813K	35%	$2K	$2K (top 5% from $4K)	76th percentile
0364T	Adaptive behavior treatment by protocol first 30 min (pre-2019)	$112K	5%	$337	$303 (top 5% from $1K)	63rd percentile
97155	Adaptive behavior treatment with protocol modification by QHPhistory of abuse	$112K	5%	$300	$512 (top 5% from $1K)	21st percentile
0369T	Adaptive behavior treatment with protocol modification each addl 30 min (pre-2019)	$68K	3%	$213	$430 (top 5% from $971)	17th percentile
0368T	Adaptive behavior treatment with protocol modification first 30 min (pre-2019)	$27K	1%	$84	$192 (top 5% from $534)	10th percentile
0370T	Medicaid service code	$26K	1%	$136	$187 (top 5% from $354)	19th percentile
97156	Family adaptive behavior treatment guidance	$26K	1%	$123	$210 (top 5% from $547)	28th percentile

In this area

52 providers in MS carry an indicator in the public record, with $87.5M at stake between them. The most common is more hours than a day holds, on 31 of them, followed by part of a provider network on 11. 7 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	MILESTONE COMMUNITY DEVELOPMENT CENTER Greenville, MS, ranked 31	$415K	Listed on the Medicare revocation list since February 6, 2023. Medicaid still paid claims in 3 later months, $414,794 in total. and 1 more
1	BRANTLEY NICHOLS Ruleville, MS, ranked 99	$299K	Listed on the Medicare revocation list since July 24, 2018. Medicaid still paid claims in 17 later months, $298,768 in total.
1	CHRISTA STAPLES Columbia, MS, ranked 222	$28K	Listed on the CA Medicaid exclusion list since November 30, 2022. Medicaid still paid claims in 10 later months, $27,901 in total.
1	BENJAMIN SANFORD Starkville, MS, ranked 320	$5K	Listed on the Medicare revocation list since January 26, 2021. Medicaid still paid claims in 3 later months, $5,278 in total.
1	MARION LUND Oxford, MS, ranked 399	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
1	FOOT DOCTOR, PLLC Oxford, MS, ranked 400	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
1	MEDIHEALTH MEDICAL SOLUTIONS LLC Amory, MS, ranked 512	$0	Adjudicated (sentenced) per a Department of Justice release dated February 15, 2024. No Medicaid payments in the last 12 observed months.
2	JOHN WILKAITIS Jackson, MS, ranked 697	$1.6M	Billed more hands-on hours than a day holds in 2 months, peaking at 24.6 hours per day across 3 billing organizations. Medicaid dollars per patient on code 99232 ($286 per patient-month) sit in the top 5% of every provider billing that code.

All 52 in MS

Recent enforcement in MS

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedJun 30, 2026

Madison Man Sentenced to 30 Months in Federal Prison for Role in Medicare Kickback Conspiracy

Smith, a marketer for diagnostic laboratories, solicited and received kickbacks from laboratories in exchange for referrals of specimens and orders for molecular diagnostic testing of toenails and paid kickbacks to providers to induce those referrals, resulting in over $1.4 million in claims to Medicare.

DOJSentencedJun 29, 2026

Two Corinth Pharmacists Sentenced for Conspiracy to Commit Healthcare Fraud

Two pharmacists billed Medicare and Medicaid for the same single prescription drug product numerous times, including diabetic insulin pens, asthma inhalers and psychotropic medications.

DOJSentencedMay 8, 2026

Former NFL Player Sentenced to Over 16 Years in Prison for $197M Medicare Fraud

French worked with overseas call centers to obtain patient information, paid kickbacks to sham telemedicine companies for signed doctors' orders for orthotic braces, sold the orders to marketers and supply companies, and billed Medicare and CHAMPVA through eight DME companies he owned using straw owners.

DOJPleaded guiltyNov 20, 2025

Mississippi Businessman Pleads Guilty to $19M Health Care Fraud Conspiracy

Gibbs paid kickbacks for fraudulent doctors' orders and used them to bill Medicare over $19 million for medically unnecessary orthotic braces through seven durable medical equipment supply companies he owned or controlled, sometimes through straw owners.

DOJCivil settlementAug 22, 2025

MISSISSIPPI MEDICAID RECIPIENTS AGREE TO PAY OVER $170,000 TO RESOLVE FALSE CLAIMS ACT ALLEGATIONS OF HEALTH CARE BENEFITS FRAUD

Former Medicaid recipients allegedly falsified their income on Mississippi Medicaid applications and renewals to create eligibility for health care benefits for their dependents.

Referral packet

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