GULF COAST AUTISM CLINIC, LLC
NPI: 1013517143
· PANAMA CITY, FL 32405
· Behavioral Analyst
· NPI assigned 10/28/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
$1.25M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
327 |
$86K |
| 2023 |
2,625 |
$657K |
| 2024 |
1,768 |
$506K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,935 |
411 |
$1.13M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
672 |
202 |
$99K |
| 97156 |
|
113 |
49 |
$16K |