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

Healthpro Pediatrics, LLC

Healthpro Pediatrics, LLC was paid $2.37M by Medicaid between Jan 2019 and Apr 2024, across 9 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 44% of everything it billed.

33Billing provider infoHEALTHPRO PEDIATRICS, LLC
NORWELL, MA 02061
33aNPI1083084883assigned 10/06/2015
33bProvider typeBehavioral Analyst
28Total paid$2.37M
24GClaims14,448
24DCodes billed9
24AFirst – last monthJan 2019 – Apr 2024
Compared with peers

Next to other Behavioral Analyst providers in Massachusetts

Rank by total paid#22 of 150
Median peer was paid$228K
This provider vs. median10×

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

$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
20191,012$79K
20202,451$303K
20213,428$568K
20224,212$789K
20232,934$553K
2024incomplete411$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 44% 5,863 549 $1.04M
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 24% 2,907 316 $578K
H0032 Mental health service plan development by non-physician 13% 1,966 488 $309K
H0031 Mental health assessment, by non-physician 9.6% 1,639 683 $228K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 4.6% 658 199 $109K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.3% 994 195 $56K
97151 1.0% 171 75 $24K
97156 <1% 231 146 $21K
H2012 Behavioral health day treatment, per hour <1% 19 14 $2K

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 officialSCOTT, TERRA (SVP OUTPATIENT PEDIATRICS)
Same official

Other billing entities under SCOTT, TERRA

Full network →

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