Agency
Formations Behavior Therapy
Formations Behavior Therapy was paid $762K by Medicaid between Dec 2019 and Jan 2024, across 3 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 46% of everything it billed.
33Billing provider infoFORMATIONS BEHAVIOR THERAPY
VANCOUVER, WA 98661
VANCOUVER, WA 98661
33aNPI1326546235assigned 01/25/2018
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$762K
24GClaims4,667
24DCodes billed3
24AFirst – last monthDec 2019 – Jan 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Washington
Rank by total paid#68 of 176
Median peer was paid$340K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2019 | 160 | $81K | |
| 2020 | 820 | $79K | |
| 2021 | 2,291 | $459K | |
| 2022 | 1,199 | $128K | |
| 2023 | 155 | $11K | |
| 2024incomplete | 42 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 46% | 689 | 66 | $351K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 45% | 3,010 | 260 | $342K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 9.2% | 968 | 271 | $70K |
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 officialTHOMPSON, ELLIS (EXECUTIVE DIRECTOR)