Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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97158

Billing code 97158

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $8.50M on code 97158 from 2018 through 2024, to 55 providers — the #2,144 code in the file by dollars. 54% of it was billed in Pennsylvania.

28Total paid$8.50M
24GClaims67,162
Paid per claim line$126.53
33Providers billing it55
Box 32 · Location

Where 97158 is billed

  1. $4.6M
  2. $2.3M
  3. $590K
  4. $380K
  5. $147K
  6. $135K
  7. $108K
  8. $87K
  9. $68K
  10. $42K
  11. $22K
  12. $20K

The largest of 16 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 97158

#ProviderLocationClaimsPaid on 97158
1 Elwyn of Pennsylvania and Delaware Media, PA 13,304 $3.08M
2 Youth & Family Services of Virginia, INC. Richmond, VA 5,176 $1.36M
3 Laila Way Philadelphia, PA 3,692 $1.15M
4 ABA Support Systems Warrenton, VA 1,181 $481K
5 R.E.A.C.H. Program LLC Bardstown, KY 7,826 $309K
6 Autism Consulting and Therapy, LLC Virginia Beach, VA 1,869 $253K
7 A Friendly Face LLC Staten Island, NY 5,324 $233K
8 Intercept Youth Services, INC Wytheville, VA 1,059 $184K
9 Matrix Behavior Solutions, LLC East Stroudsburg, PA 1,474 $183K
10 Island Therapies of Suffolk, LLP Deer Park, NY 1,371 $166K
11 Los Ninos Services New York, NY 1,166 $138K
12 Kam Learning Campus LLC Las Vegas, NV 664 $109K
13 Residential Options, INC. Lansing, MI 5,919 $107K
14 Nationwide Children's Hospital Columbus, OH 225 $72K
15 Positive Outcomes West Monroe, LA 2,127 $70K
16 Filling in the Gaps ABA Therapy Center INC. Collierville, TN 446 $62K
17 NYC Early Learning Company INC Bronx, NY 764 $49K
18 Kelly Spears, INC. Metairie, LA 4,810 $45K
19 Child Guidance Resource Centers INC Havertown, PA 258 $44K
20 Everlasting Arms Family Counseling Center, LLC Clarkson, KY 1,082 $42K
21 Lauterbach, Sarah Wauwatosa, WI 612 $39K
22 Philhaven Lebanon, PA 339 $38K
23 National Mentor Healthcare, LLC Broomall, PA 292 $37K
24 Commonwealth Autism Care Florence, KY 395 $26K
25 Peters, Kimberly West Monroe, LA 1,073 $25K
26 Balance Autism Altoona, IA 340 $22K
27 O'connell Behavioral Services Naples, FL 365 $18K
28 Piece of Our Puzzle LLC Levittown, PA 203 $18K
29 Focus Alternative Learning Center, INC. Canton, CT 675 $17K
30 Making Waves Autism Center Las Vegas, NV 97 $15K
31 Building Blocks Therapy LLC, Highland Heights, OH 874 $15K
32 Civitas Health Services, INC. Richmond, VA 32 $12K
33 A Brighter Avenue LLC Mesa, AZ 281 $11K
34 Next Level Connections LLC Las Vegas, NV 200 $9K
35 Spectrum Transformation Group, LLC North Chesterfield, VA 35 $7K
36 Momentum Behavior Analysis, LLC Crossville, TN 134 $6K
37 Damar Services INC Indianapolis, IN 242 $6K
38 Kutest Kids Early Intervention Co. Philadelphia, PA 47 $5K
39 Shinethru ABA Therapy, LLP Alexandria, LA 131 $4K
40 Liberty Resources Psychology, Physical, Occupational and Speech Therap Syracuse, NY 25 $3K
41 Theratree, LLC. Owensboro, KY 112 $3K
42 Thomas, Cynthia Green Bay, WI 73 $2K
43 Luzerne Intermediate Unit #18 Kingston, PA 12 $2K
44 A Behavioral Apporach Clinton, CT 71 $2K
45 Soar LLC Las Vegas, NV 14 $1K
46 Therapy Matters, INC. Chandler, AZ 69 $1K
47 Brunclik, Sara Cameron, WI 49 $1K
48 Touchstone Center, LLC Thibodaux, LA 267 $1K
49 Autism Sparkles LLC Enfield, CT 73 $1K
50 Behavioral Developmental Services Monroe, LA 85 $1K
51 Links ABA Therapy LLC. Lake Charles, LA 57 $985.01
52 Hhas Target LLC Grand Blanc, MI 51 $857.00
53 Kaleidoscope Family Solutions ABA INC. Bryn Mawr, PA 56 $368.28
54 Kindred Recovery PLLC Lexington, KY 27 $159.82
55 Garfield School District No. Re-2 Rifle, CO 17 $0.00