SHELBY ELIZABETH DIPILLA, BCBA
NPI 1821331919, individual, Dothan, AL, Behavior Analyst
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 81% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2024 | More hours than a day holds at a conservative unit price | 33.1 | 60.1 | 40.1 | 33.4 | 326 | 1 | 97153 97155 97156 | $253K |
| Aug 2024 | More hours than a day holds at a conservative unit price | 35.5 | 66.4 | 44.3 | 37.2 | 344 | 1 | 97153 97155 97156 | $282K |
| Sep 2024 | More hours than a day holds at a conservative unit price | 33.1 | 68.5 | 45.7 | 39.8 | 326 | 1 | 97153 97155 97156 | $280K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 31.5 | 62.1 | 41.4 | 33.3 | 319 | 1 | 97153 97155 97156 | $263K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHELBY ELIZABETH DIPILLA, BCBA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 27, 2013, last updated March 26, 2018 |
| Practice location | 2543 ROSS CLARK CIR, Dothan, AL 36301-4925, 334-699-4007 |
| Mailing address | 25 COURTYARD WAY, Enterprise, AL 36330-5054 |
| Specialties | Developmental Therapist (222Q00000X) Behavior Analyst (103K00000X, primary, license 1-17-29817 AL) |
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 | $4.8M | 71% | $1K | $2K (top 5% from $6K) | 44th percentile | |
| 97156 | Family adaptive behavior treatment guidance | $1.0M | 15% | $510 | $210 (top 5% from $547) | 93rd percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $675K | 10% | $268 | $512 (top 5% from $1K) | 18th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $251K | 4% | $248 | $389 (top 5% from $1K) | 28th percentile |
In this area
3 providers in Houston County, AL carry an indicator in the public record, with $2.5M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | DAVID GHOSTLEY Dothan, AL, ranked 9097 | $713K |
|
| 5 | JOHN STRUNK Dothan, AL, ranked 10891 | $1.5M | |
| 5 | WILLIAM WATSON Dothan, AL, ranked 11408 | $255K |
Recent enforcement in AL
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.