Behavioral
Gulf Coast Autism Clinic, LLC
Gulf Coast Autism Clinic, LLC was paid $1.25M by Medicaid between Oct 2022 and Nov 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 91% of everything it billed.
33Billing provider infoGULF COAST AUTISM CLINIC, LLC
PANAMA CITY, FL 32405
PANAMA CITY, FL 32405
33aNPI1013517143assigned 10/28/2020
33bProvider typeBehavioral Analyst
28Total paid$1.25M
24GClaims4,720
24DCodes billed3
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in Florida
Rank by total paid#124 of 631
Median peer was paid$148K
This provider vs. median8.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration91% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2022 | 327 | $86K | |
| 2023 | 2,625 | $657K | |
| 2024incomplete | 1,768 | $506K |
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 | 91% | 3,935 | 411 | $1.13M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 7.9% | 672 | 202 | $99K |
| 97156 | 1.2% | 113 | 49 | $16K |
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 officialPATTERSON, KURYN (CEO)