Behavioral
Patterns Behavioral Services, INC.
Patterns Behavioral Services, INC. was paid $3.28M by Medicaid between Oct 2018 and Jan 2024, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 66% of everything it billed.
33Billing provider infoPATTERNS BEHAVIORAL SERVICES, INC.
BREA, CA 92821
BREA, CA 92821
33aNPI1346765013assigned 08/03/2017
33bProvider typeBehavioral Analyst
28Total paid$3.28M
24GClaims18,214
24DCodes billed6
24AFirst – last monthOct 2018 – Jan 2024
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#64 of 385
Median peer was paid$476K
This provider vs. median6.9×
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 | 1,042 | $101K | |
| 2019 | 259 | $52K | |
| 2020 | 3,941 | $757K | |
| 2021 | 4,854 | $972K | |
| 2022 | 5,636 | $1.03M | |
| 2023 | 2,167 | $321K | |
| 2024incomplete | 315 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 66% | 13,049 | 845 | $2.17M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 30% | 3,836 | 794 | $984K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.0% | 684 | 111 | $66K |
| 97156 | <1% | 287 | 162 | $25K | |
| H0032 | Mental health service plan development by non-physician | <1% | 233 | 98 | $24K |
| S5110 | Home care training, family; per 15 minutes | <1% | 125 | 75 | $11K |
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 officialBURKE, PAUL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Vascular Associates of the Merrimack Valley PC | North Chelmsford, MA | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.