Beyond Behavior Consulting
Beyond Behavior Consulting was paid $10.29M by Medicaid between Jul 2020 and Dec 2024, across 15 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 75% of everything it billed.
33Billing provider infoBEYOND BEHAVIOR CONSULTING
FORTY FORT, PA 18704
FORTY FORT, PA 18704
33aNPI1043637747assigned 03/20/2014
33bProvider typePediatric Occupational Therapist
28Total paid$10.29M
24GClaims68,523
24DCodes billed15
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatric Occupational Therapist providers in Pennsylvania
Rank by total paid#1 of 23
Median peer was paid$116K
This provider vs. median88×
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 | |
|---|---|---|---|
| 2020 | 3,613 | $391K | |
| 2021 | 12,438 | $1.72M | |
| 2022 | 18,172 | $2.61M | |
| 2023 | 18,799 | $2.84M | |
| 2024incomplete | 15,501 | $2.73M |
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 | 75% | 39,942 | 3,074 | $7.70M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 15% | 8,688 | 2,962 | $1.55M |
| 97151 | 2.4% | 1,866 | 768 | $244K | |
| 97154 | 1.8% | 740 | 109 | $180K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.4% | 5,037 | 1,501 | $148K |
| H2021 | Community-based wrap-around services, per 15 minutes | 1.4% | 1,649 | 180 | $141K |
| 97156 | <1% | 1,570 | 1,136 | $100K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 5,413 | 1,466 | $96K |
| 92526 | <1% | 2,450 | 758 | $88K | |
| H0046 | Mental health services, not otherwise specified | <1% | 538 | 171 | $34K |
| 97129 | <1% | 265 | 108 | $4K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 208 | 94 | $3K |
3 more codes
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 officialSILVA, JENNIFER (CO-FOUNDER/ BEHAVIOR ANALYST)