Novel Responses, INC.

Novel Responses, INC. was paid $631K by Medicaid between Apr 2018 and Mar 2020, across 7 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 63% of everything it billed.

33Billing provider infoNOVEL RESPONSES, INC.
PORTAGE, MI 49024

33aNPI1124356092assigned 12/03/2009

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$631K

24GClaims5,352

24DCodes billed7

24AFirst – last monthApr 2018 – Mar 2020

Compared with peers

Next to other Community/Behavioral Health Agency providers in Michigan

Rank by total paid#124 of 263

Median peer was paid$541K

This provider vs. median1.2×

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
2018	1,450	$112K
2019	3,291	$440K
2020	611	$79K

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	63%	3,225	249	$397K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	19%	636	222	$119K
0365T		13%	666	65	$79K
0364T		3.2%	663	65	$20K
0369T		1.1%	41	13	$7K
0368T		<1%	80	25	$6K
97156		<1%	41	26	$3K

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 officialMACFARLANE, AMY (EXECUTIVE DIRECTOR/OWNER)