Behavioral
Prospect Kids, LLC
Prospect Kids, LLC was paid $35.73M by Medicaid between Feb 2019 and Nov 2024, across 17 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 58% of everything it billed.
33Billing provider infoPROSPECT KIDS, LLC
BROOKLYN, NY 11235
BROOKLYN, NY 11235
33aNPI1124489638assigned 03/10/2016
33bProvider typeBehavioral Analyst
28Total paid$35.73M
24GClaims399,935
24DCodes billed17
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in New York
Rank by total paid#1 of 47
Median peer was paid$376K
This provider vs. median95×
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 | 7,874 | $635K | |
| 2020 | 30,922 | $2.69M | |
| 2021 | 67,068 | $5.78M | |
| 2022 | 94,451 | $8.20M | |
| 2023 | 112,610 | $9.89M | |
| 2024incomplete | 87,010 | $8.54M |
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 | 58% | 186,318 | 8,739 | $20.57M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 21% | 96,622 | 7,940 | $7.63M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.6% | 29,759 | 4,174 | $2.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 5.2% | 48,118 | 10,960 | $1.86M |
| H2014 | Skills training and development, per 15 minutes | 3.2% | 14,372 | 2,003 | $1.15M |
| 96112 | 1.7% | 1,921 | 992 | $607K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.6% | 6,996 | 1,446 | $558K |
| 92557 | <1% | 9,335 | 2,623 | $353K | |
| 97116 | <1% | 3,506 | 847 | $279K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 690 | 238 | $104K |
| 97165 | <1% | 499 | 265 | $69K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 810 | 106 | $66K |
5 more codes
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 officialTOLMACH, ALEKSANDR (CEO)