Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Autism Sparkles LLC

Autism Sparkles LLC was paid $8.51M by Medicaid between Jan 2022 and May 2024, across 5 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 81% of everything it billed.

33Billing provider infoAUTISM SPARKLES LLC
ENFIELD, CT 06082
33aNPI1184386120assigned 10/07/2021
33bProvider typeBehavioral Analyst
28Total paid$8.51M
24GClaims38,341
24DCodes billed5
24AFirst – last monthJan 2022 – May 2024
Compared with peers

Next to other Behavioral Analyst providers in Connecticut

Rank by total paid#2 of 42
Median peer was paid$264K
This provider vs. median32×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
202215,622$3.33M
202319,254$4.30M
2024incomplete3,465$879K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 81% 28,867 1,768 $6.89M
H0046 Mental health services, not otherwise specified 17% 8,828 1,663 $1.48M
H0031 Mental health assessment, by non-physician 1.0% 125 121 $85K
H0032 Mental health service plan development by non-physician <1% 448 219 $55K
97158 <1% 73 27 $1K

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 officialENDERLE, ALYSE (OWNER/BCBA)