Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1295148146
Agency

Proud Moments Licensed Behavior Analysts PLLC

Proud Moments Licensed Behavior Analysts PLLC was paid $4.11M by Medicaid between Sep 2019 and Dec 2024, across 10 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 56% of everything it billed.

33Billing provider infoPROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
NEW YORK, NY 10118
33aNPI1295148146assigned 06/09/2014
28Total paid$4.11M
24GClaims27,438
24DCodes billed10
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in New York

Rank by total paid#73 of 235
Median peer was paid$1.02M
This provider vs. median4.0×

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$100K$200K$300K2018201920202021202220232024
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
20193,198$588K
20202,863$449K
20212,041$367K
20225,275$986K
20237,805$673K
2024incomplete6,256$1.05M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 56% 15,798 1,663 $2.29M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 14% 2,591 467 $592K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 12% 4,397 890 $482K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 7.3% 1,369 98 $299K
H0032 Mental health service plan development by non-physician 2.8% 827 337 $114K
97156 2.6% 1,207 607 $105K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.9% 564 182 $76K
97151 1.7% 215 109 $72K
H0031 Mental health assessment, by non-physician 1.6% 298 103 $64K
H2012 Behavioral health day treatment, per hour <1% 172 79 $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 officialYOST, MARK (GENERAL COUNSEL)
Same official

Other billing entities under YOST, MARK

Full network →
ProviderLocationPaid
Your Life ABA Va, LLCNew York, NY$1.89M
NMS Wellness LLCHyattsville, MD$1.46M
NMS Wellness, LLCHyattsville, MD$736K
Wye Oak Healthcare Wellness LLCHyattsville, MD$558K
Wye Oak Dialysis LLCSilver Spring, MD$388K
NMS Dialysis of Springbrook LLCSilver Spring, MD$78K
NMS Wellness LLCAnnapolis, MD$4K
NMS Healthcare of Silver Spring LLCSilver Spring, MD$0.00
NMS Healthcare of Springbrook, LLCHyattsville, MD$0.00

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