Agency
Autism Prohelp, LLC
Autism Prohelp, LLC was paid $1.95M by Medicaid between Sep 2019 and Aug 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 60% of everything it billed.
33Billing provider infoAUTISM PROHELP, LLC
NEW YORK, NY 10001
NEW YORK, NY 10001
33aNPI1083070221assigned 01/04/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.95M
24GClaims19,141
24DCodes billed3
24AFirst – last monthSep 2019 – Aug 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in New York
Rank by total paid#101 of 235
Median peer was paid$1.02M
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 964 | $91K | |
| 2020 | 5,602 | $554K | |
| 2021 | 4,509 | $454K | |
| 2022 | 2,859 | $303K | |
| 2023 | 3,573 | $378K | |
| 2024incomplete | 1,634 | $170K |
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 | 60% | 10,992 | 799 | $1.16M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 23% | 4,247 | 294 | $446K |
| H2027 | Psychoeducational service, per 15 minutes | 18% | 3,902 | 701 | $343K |
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 officialKIM, JOSEPH (CO-FOUNDER)
| Provider | Location | Paid |
|---|---|---|
| Grayson Digestive Health PLLC | Sherman, TX | $4K |
| North Texas Gastroenterology Associates, PLLC | Sherman, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.