Circle City ABA

Circle City ABA was paid $2.41M by Medicaid between Jan 2020 and May 2023, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 86% of everything it billed.

33Billing provider infoCIRCLE CITY ABA
LAFAYETTE, IN 47904

33aNPI1235676990assigned 01/19/2017

33bProvider typeBehavioral Analyst

28Total paid$2.41M

24GClaims12,989

24DCodes billed4

24AFirst – last monthJan 2020 – May 2023

Compared with peers

Next to other Behavioral Analyst providers in Indiana

Rank by total paid#23 of 54

Median peer was paid$1.73M

This provider vs. median1.4×

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	9,502	$1.31M
2021	962	$201K
2022	1,870	$477K
2023	655	$421K

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	86%	7,324	468	$2.08M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	8.3%	2,082	387	$200K
97154		4.4%	2,773	216	$106K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.1%	810	147	$26K

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 officialCOCHRANE, WILLIAM (VICE PRESIDENT OF STRATEGIC DEV.)