Agency
Shapiro Educational & Behavioral Consultants, LLC
Shapiro Educational & Behavioral Consultants, LLC was paid $14.99M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 43% of everything it billed.
33Billing provider infoSHAPIRO EDUCATIONAL & BEHAVIORAL CONSULTANTS, LLC
LUNENBURG, MA 01462
LUNENBURG, MA 01462
33aNPI1316378482assigned 11/27/2013
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$14.99M
24GClaims86,898
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Massachusetts
Rank by total paid#12 of 129
Median peer was paid$5.89M
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 9,281 | $1.59M | |
| 2019 | 13,571 | $2.39M | |
| 2020 | 13,846 | $2.53M | |
| 2021 | 12,800 | $2.23M | |
| 2022 | 10,162 | $1.60M | |
| 2023 | 12,869 | $2.18M | |
| 2024incomplete | 14,369 | $2.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 43% | 31,688 | 2,813 | $6.48M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 21% | 14,949 | 1,449 | $3.10M |
| H0032 | Mental health service plan development by non-physician | 12% | 10,629 | 2,556 | $1.75M |
| H0031 | Mental health assessment, by non-physician | 11% | 14,009 | 4,074 | $1.64M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 7.0% | 5,045 | 1,326 | $1.05M |
| 97156 | 4.5% | 8,202 | 2,339 | $671K | |
| H2012 | Behavioral health day treatment, per hour | 2.0% | 2,356 | 1,035 | $300K |
| 97151 | <1% | 20 | 14 | $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 officialSHAPIRO, ROBERT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Andrew Balfour & Robert Shapiro | Los Angeles, CA | $433K |
| Physicians of University Hospital PC | Staten Island, NY | $10K |
| North Shore - Lij Medical PC | New Hyde Park, NY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.