Agency
Gemma Services
Gemma Services was paid $23.75M by Medicaid between Oct 2020 and Dec 2024, across 22 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 25% of everything it billed.
33Billing provider infoGEMMA SERVICES
PLYMOUTH MEETING, PA 19462
PLYMOUTH MEETING, PA 19462
33aNPI1144310830assigned 10/13/2006
33bProvider typeLocal Education Agency (LEA)
28Total paid$23.75M
24GClaims152,196
24DCodes billed22
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Pennsylvania
Rank by total paid#2 of 10
Median peer was paid$358K
This provider vs. median66×
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 | |
|---|---|---|---|
| 2020 | 3,635 | $25K | |
| 2021 | 37,151 | $4.14M | |
| 2022 | 33,870 | $4.51M | |
| 2023 | 39,313 | $6.91M | |
| 2024incomplete | 38,227 | $8.16M |
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 | 25% | 17,649 | 1,432 | $5.84M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 15% | 19,757 | 4,559 | $3.67M |
| H0032 | Mental health service plan development by non-physician | 12% | 24,433 | 5,555 | $2.87M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.8% | 25,555 | 9,903 | $2.33M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 9.0% | 16,032 | 4,368 | $2.15M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7.0% | 5,613 | 747 | $1.65M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 4.3% | 9,630 | 5,597 | $1.02M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 9,439 | 4,044 | $995K |
| H2021 | Community-based wrap-around services, per 15 minutes | 3.8% | 5,273 | 565 | $893K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 6,448 | 2,759 | $571K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 864 | 841 | $410K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.2% | 2,947 | 1,957 | $289K |
10 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,202 | $214K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,110 | $197K |
| 97151 | <1% | 744 | $188K | |
| 96127 | <1% | 1,542 | $144K | |
| T1016 | Case management, each 15 minutes | <1% | 599 | $113K |
| H0034 | Medication training and support, per 15 minutes | <1% | 859 | $86K |
| H0031 | Mental health assessment, by non-physician | <1% | 640 | $61K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 249 | $31K |
| 97156 | <1% | 188 | $28K | |
| H0046 | Mental health services, not otherwise specified | 0% | 423 | $0.00 |
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 officialGAY, KRISTEN (PRESIDENT)