Behavioral
Encompass Therapy Center, LLC
Encompass Therapy Center, LLC was paid $11.17M by Medicaid between May 2019 and Dec 2024, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 70% of everything it billed.
33Billing provider infoENCOMPASS THERAPY CENTER, LLC
BAY CITY, MI 48706
BAY CITY, MI 48706
33aNPI1235645847assigned 12/19/2017
33bProvider typeClinical Social Worker
28Total paid$11.17M
24GClaims92,225
24DCodes billed6
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#10 of 411
Median peer was paid$49K
This provider vs. median228×
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 | |
|---|---|---|---|
| 2019 | 4,974 | $724K | |
| 2020 | 5,959 | $805K | |
| 2021 | 13,727 | $1.80M | |
| 2022 | 17,987 | $2.23M | |
| 2023 | 24,758 | $2.87M | |
| 2024incomplete | 24,820 | $2.74M |
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 | 70% | 68,697 | 1,371 | $7.81M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 18% | 8,715 | 1,411 | $1.99M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 8.7% | 10,397 | 1,069 | $967K |
| 97156 | 1.3% | 1,300 | 1,057 | $147K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.2% | 1,827 | 222 | $131K |
| H0032 | Mental health service plan development by non-physician | 1.1% | 1,289 | 923 | $122K |
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 officialBLAKE, ASHLEY (OWNER/CLINICAL DIRECTOR)