Behavioral
Rise Autism LLC
Rise Autism LLC was paid $3.95M by Medicaid between Feb 2022 and Mar 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 95% of everything it billed.
33Billing provider infoRISE AUTISM LLC
BLOOMINGTON, IN 47401
BLOOMINGTON, IN 47401
33aNPI1053907808assigned 12/16/2020
33bProvider typeAssistant Behavior Analyst
28Total paid$3.95M
24GClaims2,811
24DCodes billed2
24AFirst – last monthFeb 2022 – Mar 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code 97153 with only 2 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 | 1,306 | $1.66M | |
| 2023 | 1,182 | $1.95M | |
| 2024incomplete | 323 | $338K |
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 | 95% | 2,304 | 343 | $3.76M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 4.9% | 507 | 170 | $195K |
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 officialGRABER, KIRK (OWNER)