Agency
Functional Life Achievement, INC.
Functional Life Achievement, INC. was paid $17.81M by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 29% of everything it billed.
33Billing provider infoFUNCTIONAL LIFE ACHIEVEMENT, INC.
NEW YORK, NY 10016
NEW YORK, NY 10016
33aNPI1205066164assigned 07/24/2009
33bProvider typeCase Management Agency
28Total paid$17.81M
24GClaims237,637
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in New York
Rank by total paid#40 of 180
Median peer was paid$1.76M
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 4,325 | $544K | |
| 2019 | 34,834 | $2.85M | |
| 2020 | 45,534 | $3.47M | |
| 2021 | 46,553 | $3.34M | |
| 2022 | 43,203 | $3.07M | |
| 2023 | 37,916 | $2.67M | |
| 2024incomplete | 25,272 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 29% | 53,186 | 4,422 | $5.21M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 21% | 47,927 | 5,808 | $3.71M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 13% | 17,175 | 772 | $2.24M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 10% | 23,024 | 4,013 | $1.79M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 9.8% | 46,470 | 5,090 | $1.75M |
| 92557 | 5.5% | 26,986 | 3,310 | $983K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.6% | 10,538 | 2,350 | $827K |
| 96112 | 2.0% | 872 | 732 | $360K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.8% | 4,197 | 1,198 | $329K |
| 97116 | 1.1% | 2,514 | 826 | $200K | |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 1,182 | 142 | $112K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | <1% | 1,035 | 79 | $108K |
8 more codes
| 97129 | <1% | 1,181 | $91K | |
| 97533 | <1% | 470 | $37K | |
| 92526 | <1% | 532 | $37K | |
| 97165 | <1% | 78 | $12K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 123 | $12K |
| 92523 | <1% | 67 | $10K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 54 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $3K |
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 officialYIN, JIMMY (FINANCIAL DIRECTOR)