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

Association for Children With Down Syndrome, INC.

Association for Children With Down Syndrome, INC. was paid $2.13M by Medicaid between Apr 2019 and Sep 2024, across 11 billing codes. Its largest line is 97129, — 29% of everything it billed.

33Billing provider infoASSOCIATION FOR CHILDREN WITH DOWN SYNDROME, INC.
PLAINVIEW, NY 11803
33aNPI1053552901assigned 03/23/2009
28Total paid$2.13M
24GClaims31,780
24DCodes billed11
24AFirst – last monthApr 2019 – Sep 2024
Compared with peers

Next to other Early Intervention Provider Agency providers in New York

Rank by total paid#74 of 257
Median peer was paid$416K
This provider vs. median5.1×

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.

Entity ProliferationAuthorized official SMITH, MICHAEL controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20195,157$364K
20205,925$383K
20215,524$335K
20225,303$352K
20236,314$437K
2024incomplete3,557$255K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97129 29% 7,427 1,502 $609K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 20% 6,318 1,167 $432K
97130 15% 3,871 1,296 $313K
97530 Therapeutic activities, direct patient contact, each 15 minutes 11% 3,417 1,135 $234K
97127 7.6% 1,635 168 $161K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.4% 1,558 689 $115K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 3.2% 2,968 954 $68K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2.9% 825 412 $61K
92557 2.9% 2,695 749 $61K
97116 2.0% 622 275 $43K
97533 1.3% 444 160 $28K

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 officialSMITH, MICHAEL (EXECUTIVE DIRECTOR)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.