Cusps and Capabilities LLC

Cusps and Capabilities LLC was paid $407K by Medicaid between Jan 2018 and Apr 2022, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 65% of everything it billed.

33Billing provider infoCUSPS AND CAPABILITIES LLC
HOUMA, LA 70364

33aNPI1013464296assigned 09/06/2016

33bProvider typeBehavioral Analyst

28Total paid$407K

24GClaims3,736

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Behavioral Analyst providers in Louisiana

Rank by total paid#31 of 53

Median peer was paid$505K

This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	791	$68K
2019	227	$29K
2020	840	$106K
2021	691	$81K
2022	1,187	$123K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	65%	1,730	176	$266K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	18%	1,215	152	$73K
0365T		12%	247	13	$51K
0368T		1.6%	149	13	$7K
0369T		1.6%	149	13	$7K
0364T		1.1%	246	13	$4K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGILCREASE, DAWN (SENIOR BEHAVIOR ANALYST)