Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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97155

Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes

Medicaid paid $1.44B on code 97155 from 2018 through 2024, to 2,549 providers — the #132 code in the file by dollars.

28Total paid$1.44B
24GClaims9,439,184
Paid per claim line$152.71
33Providers billing it2,549
Box 32 · Location

Where 97155 is billed

  1. $286M
  2. $209M
  3. $119M
  4. $93M
  5. $87M
  6. $86M
  7. $79M
  8. $72M
  9. $66M
  10. $62M
  11. $48M
  12. $37M

The largest of 50 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 97155

#ProviderLocationClaimsPaid on 97155
1 Centria Healthcare LLC Farmington Hills, MI 380,697 $76.35M
2 Abs Utah, P.C. Salt Lake City, UT 158,562 $30.02M
3 Gateway Pediatric Therapy LLC Bingham Farms, MI 150,468 $26.01M
4 Behavior Interventions, INC King Of Prussia, PA 82,183 $19.06M
5 Lund, Eric Green Bay, WI 143,060 $17.12M
6 Vav Operations LLC South Bend, IN 139,640 $16.60M
7 Comprehab LLC Gastonia, NC 95,260 $15.57M
8 Brett Dinovi & Associates PA LLC Bensalem, PA 38,443 $13.89M
9 Acorn Health of Michigan, LLC Traverse City, MI 100,291 $13.54M
10 Mosaic Group, LLC Pineville, NC 70,553 $13.32M
11 Matrix Behavior Solutions, LLC East Stroudsburg, PA 52,782 $12.49M
12 Compass Youth Services Charlottesville, VA 43,772 $12.33M
13 Chitter Chatter P.C. Dearborn, MI 52,708 $12.12M
14 Positive Behavior Supports Detroit, MI 51,306 $11.86M
15 Compass Counseling Services of Northern Virginia Fredericksburg, VA 43,099 $11.00M
16 Bright Beginnings Therapeutic Services, LLC Carbondale, PA 43,492 $10.75M
17 Alternative Behavior Strategies, LLC Rancho Cucamonga, CA 78,948 $10.52M
18 Highlights Healthcare, LLC Mooresville, NC 41,137 $9.16M
19 Easter Seals Southern California, INC Irvine, CA 82,461 $9.13M
20 Autism Spectrum Therapies, LLC Burbank, CA 44,830 $8.54M
21 ABA Programming INC. Indianapolis, IN 33,209 $8.44M
22 Pathways Human Services of Pennsylvania, LLC Greensburg, PA 53,789 $8.26M
23 Maura Stack Oden LLC Glenwood Springs, CO 19,910 $7.96M
24 Positive Behavior Supports Stuart, FL 40,227 $7.82M
25 Elizabeth Ostendorf LLC Colorado Springs, CO 35,209 $7.68M
26 Let's Start With Play LLC Fresh Meadows, NY 72,371 $7.64M
27 Childrens Behavioral Health, LLC Johnstown, PA 41,638 $7.56M
28 Carolina Center for Autism Services, LLC Durham, NC 28,730 $7.43M
29 Kids First E.I. INC. Bronx, NY 67,607 $7.12M
30 Dearborn Speech and Sensory Center, INC Plymouth, MI 43,202 $7.12M
31 Autism Systems LLC Fort Gratiot, MI 30,673 $7.09M
32 National Mentor Healthcare, LLC Broomall, PA 33,605 $7.06M
33 Stepping Stones Behavioral Solutions LLC Indianapolis, IN 12,307 $6.95M
34 Affable Home Healthcare Network Chesterfield, MI 35,785 $6.83M
35 Cross River NC Charlotte, NC 33,013 $6.74M
36 Colorado Autism Consultants, LLC Aurora, CO 4,338 $6.72M
37 Family Insight, PC Roanoke, VA 31,120 $6.67M
38 ABA Pathways, LLC Ann Arbor, MI 40,030 $6.45M
39 Hopebridge, LLC Kokomo, IN 51,503 $6.22M
40 Key Autism Services NC, LLC Raleigh, NC 26,620 $5.93M
41 Mercy Plus Healthcare Services LLC Flushing, MI 34,653 $5.81M
42 Damar Services INC Indianapolis, IN 39,020 $5.77M
43 Piece By Piece Autism Center Lebanon, IN 10,250 $5.56M
44 Partners in Excellence INC Burnsville, MN 104,008 $5.56M
45 Bridgeway Integrated Healthcare Services Taylorsville, UT 81,721 $5.41M
46 Kid's Choice Therapies, LLC Norman, OK 29,104 $5.34M
47 Compass Youth Services Norfolk, VA 14,898 $5.34M
48 Important Steps, INC. Bronx, NY 49,999 $5.28M
49 Easter Seals Southern California, INC Anaheim, CA 46,728 $5.26M
50 CNNH Therapy LLC King Of Prussia, PA 24,246 $4.83M
51 Michigan Learning Community, LLC Ypsilanti, MI 14,417 $4.78M
52 BCPS Holdco Greenville, NC 20,146 $4.76M
53 Ferg, Staci Kaukauna, WI 31,041 $4.69M
54 Community Mental Health for Central Michigan Mt Pleasant, MI 4,707 $4.61M
55 Center for Autism and Related Disorders LLC Plano, TX 53,196 $4.60M
56 Ateres Mordechai Brooklyn, NY 42,741 $4.49M
57 Pennsylvania Counseling Services INC. Lebanon, PA 21,690 $4.44M
58 The Childrens Circle Flushing, NY 40,842 $4.31M
59 Quest Provider Services LLC Charlotte, NC 25,474 $4.24M
60 Our Children First, INC Bronx, NY 38,126 $4.20M
61 Bright Minds Consultation INC Philadelphia, PA 10,151 $4.11M
62 Holcomb Associates, INC. Wyomissing,, PA 24,897 $4.01M
63 Youth & Family Services of Virginia, INC. Richmond, VA 24,849 $3.99M
64 Reign Integrated Services Virginia Beach, VA 2,933 $3.94M
65 Northway Academy, INC. Saint Cloud, MN 82,312 $3.89M
66 Achieving True Self, INC. Hunt Valley, MD 22,979 $3.88M
67 Autism Learning Partners, LLC Downey, CA 22,163 $3.85M
68 Residential Options, INC. Lansing, MI 33,322 $3.77M
69 Gemma Services Plymouth Meeting, PA 19,757 $3.67M
70 Behavioral Specialists of LA Shreveport, LA 78,496 $3.66M
71 Philhaven Lebanon, PA 25,809 $3.63M
72 Alpha & Omega Kids Developmental Services Brooklyn, NY 33,514 $3.59M
73 Mission Autism Clinics LLC Silver Spring, MD 22,989 $3.55M
74 Achievement Center of Lecom Health Erie, PA 21,279 $3.54M
75 Mental Health Services En Espanol LLC Fairfax, VA 12,166 $3.50M
76 Game Changer Pediatric Therapy Services LLC Bay City, MI 21,587 $3.49M
77 Paragon Autism Services, LLC Fredericksburg, VA 13,142 $3.49M
78 Piece By Piece ABA Therapy LLC Lafayette, IN 6,754 $3.46M
79 B & Y Kids Resources LLC Fresh Meadows, NY 32,675 $3.46M
80 Autism Center of Northern Michigan Traverse City, MI 23,717 $3.44M
81 Thrive Therapy LLC Philadelphia, PA 11,840 $3.38M
82 Step Ahead ABA LLC Charlotte, NC 12,408 $3.34M
83 Merakey Midwest Flint, MI 16,662 $3.28M
84 Big Minds, Tiny Hands LLC. Yonkers, NY 31,171 $3.25M
85 Paragon Behavioral Health Services, LLC Wyomissing, PA 17,662 $3.23M
86 E.Sholom INC. Richmond Hill, NY 30,581 $3.23M
87 Northway Academy, INC. Sartell, MN 55,434 $3.17M
88 Developmental Enhancement, PLC Holland, MI 28,034 $3.15M
89 Knapp Center for Childhood Development Youngstown, OH 18,681 $3.12M
90 Helping Hands Family Pennsylvania LLC King Of Prussia, PA 27,504 $3.10M
91 Merakey Pennsylvania Huntingdon, PA 17,901 $3.10M
92 Ivyrehab Northern PT, LLC Sparta, MI 29,206 $3.03M
93 A Bridge to Achievement NC, LLC Winston Salem, NC 18,320 $3.02M
94 Special People in Northeast, INC. Philadelphia, PA 17,140 $3.00M
95 ABA Support Services LLC Bethlehem, PA 13,843 $3.00M
96 Solutions Behavioral Healthcare Professionals, PC Moorhead, MN 27,962 $3.00M
97 Vav Operations Mi, LLC Kalamazoo, MI 26,290 $2.91M
98 Comprehensive Speech and Therapy Center, INC Jackson, MI 21,501 $2.87M
99 The Redco Group, LLC. Pottsville, PA 13,391 $2.87M
100 Caravel Autism Health, LLC Green Bay, WI 36,627 $2.85M