Behavioral
The Center for Autism
The Center for Autism was paid $14.39M by Medicaid between Jul 2021 and Dec 2024, across 8 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 86% of everything it billed.
33Billing provider infoTHE CENTER FOR AUTISM
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
33aNPI1174129563assigned 12/10/2020
33bProvider typeMental Health Counselor
28Total paid$14.39M
24GClaims95,986
24DCodes billed8
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Pennsylvania
Rank by total paid#9 of 227
Median peer was paid$77K
This provider vs. median186×
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 | |
|---|---|---|---|
| 2021 | 4,009 | $0.00 | |
| 2022 | 19,954 | $0.00 | |
| 2023 | 45,814 | $6.98M | |
| 2024incomplete | 26,209 | $7.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 86% | 2,744 | 2,728 | $12.38M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 12% | 4,227 | 299 | $1.68M |
| 97152 | 1.5% | 943 | 184 | $210K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 299 | 96 | $81K |
| 97154 | <1% | 62,862 | 2,758 | $21K | |
| 97156 | <1% | 216 | 81 | $20K | |
| 97151 | <1% | 75 | 14 | $2K | |
| H2021 | Community-based wrap-around services, per 15 minutes | 0% | 24,620 | 1,840 | $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 officialBONGARD, NICHOLAS (TRAINING SPECIALIST)