Behavioral
Peak Potential Behavior & Wellness LLC
Peak Potential Behavior & Wellness LLC was paid $3.10M by Medicaid between Feb 2020 and Apr 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 72% of everything it billed.
33Billing provider infoPEAK POTENTIAL BEHAVIOR & WELLNESS LLC
FOUNTAIN, CO 80817
FOUNTAIN, CO 80817
33aNPI1164807210assigned 07/29/2015
33bProvider typeBehavioral Analyst
28Total paid$3.10M
24GClaims16,312
24DCodes billed2
24AFirst – last monthFeb 2020 – Apr 2024
Compared with peers
Next to other Behavioral Analyst providers in Colorado
Rank by total paid#14 of 114
Median peer was paid$189K
This provider vs. median16×
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 | 227 | $37K | |
| 2022 | 6,712 | $1.12M | |
| 2023 | 7,692 | $1.55M | |
| 2024incomplete | 1,681 | $396K |
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 | 72% | 10,759 | 831 | $2.25M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 28% | 5,553 | 663 | $857K |
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 officialWILSON, STACEY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Davidson County Public Schools Supe | Lexington, NC | $4.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.