ANNA MARIE DORELIEN, LPN, MSEd, BCBA
NPI 1851596100, individual, Staten Island, NY, Behavior Analyst
- 89% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANNA MARIE DORELIEN, LPN, MSEd, BCBA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 18, 2007, last updated November 1, 2021 |
| Practice location | 1887 RICHMOND AVE, 1887 RICHMOND AVE, Staten Island, NY 10314, 718-698-1300 |
| Specialties | Licensed Practical Nurse (164W00000X, license 2314371 NY) Specialist (174400000X, license 708643 NY) Community/Behavioral Health (251S00000X) Behavior Analyst (103K00000X, primary, license 1-11-9021 NY) |
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 | $9.5M | 78% | $2K | $2K (top 5% from $6K) | 64th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $1.4M | 11% | $415 | $512 (top 5% from $1K) | 36th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $656K | 5% | $468 | $389 (top 5% from $1K) | 61st percentile | |
| 97156 | Family adaptive behavior treatment guidance | $396K | 3% | $151 | $210 (top 5% from $547) | 37th percentile | |
| 97158 | Group adaptive behavior treatment with protocol modification | $233K | 2% | $139 | too few months to rank |
In this area
9 providers in Richmond County, NY carry an indicator in the public record, with $16.3M at stake between them. The most common is more hours than a day holds, on 8 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 | NEW DORP MEDICAL PC Staten Island, NY, ranked 263 | $14K |
|
| 4 | JOEL IDOWU Staten Island, NY, ranked 7482 | $4.3M |
|
| 4 | STAVROS SNYDER Staten Island, NY, ranked 9280 | $399K |
|
| 4 | YEHIA OSMAN Staten Island, NY, ranked 9363 | $296K |
|
| 5 | MINI VERTER Staten Island, NY, ranked 10674 | $7.9M | |
| 5 | DENIZ CEREB Staten Island, NY, ranked 10730 | $3.3M | |
| 5 | CHAITALI KHAIRE Staten Island, NY, ranked 11729 | $58K | |
| 5 | ELLIS ENABOSI Staten Island, NY, ranked 11777 | $44K |
Recent enforcement in NY
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.