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

Action Behavior Centers, LLC

Action Behavior Centers, LLC was paid $19K by Medicaid between May 2023 and Sep 2023, across 1 billing code. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 100% of everything it billed.

33Billing provider infoACTION BEHAVIOR CENTERS, LLC
DENVER, CO 80249
33aNPI1265191910assigned 12/09/2021
33bProvider typeBehavioral Analyst
28Total paid$19K
24GClaims173
24DCodes billed1
24AFirst – last monthMay 2023 – Sep 2023
Compared with peers

Next to other Behavioral Analyst providers in Colorado

Rank by total paid#87 of 114
Median peer was paid$189K
This provider vs. median0.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GOMEZ, SAMANTHA controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2023173$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 100% 173 76 $19K

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 officialGOMEZ, SAMANTHA (CREDENTIALING MANAGER)
Same official

Other billing entities under GOMEZ, SAMANTHA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.