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

Community Options, INC.

Community Options, INC. was paid $27.39M by Medicaid between Jun 2020 and Dec 2024, across 6 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 72% of everything it billed.

33Billing provider infoCOMMUNITY OPTIONS, INC.
NASHVILLE, TN 37214
33aNPI1295139871assigned 10/10/2014
33bProvider typeBehavioral Analyst
28Total paid$27.39M
24GClaims41,494
24DCodes billed6
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Behavioral Analyst providers in Tennessee

Rank by total paid#1 of 68
Median peer was paid$233K
This provider vs. median118×

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$1.0M$2.0M2018201920202021202220232024
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
2020369$488K
20212,252$2.49M
20221,049$4.76M
20234,841$5.83M
2024incomplete32,983$13.82M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 72% 24,220 2,407 $19.63M
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 23% 5,507 996 $6.38M
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 3.1% 6,397 588 $839K
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 1.2% 4,019 268 $319K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes <1% 1,335 470 $217K
S0315 Disease management program; initial assessment and initiation of the program <1% 16 13 $4K

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 officialCEDENO, BELGICA (CONTROLLER)
Same official

Other billing entities under CEDENO, BELGICA

Full network →
ProviderLocationPaid
Community Options, INC.Columbia, SC$40.29M
Community Options, INC.Des Moines, IA$1.92M

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