Pivotal Interventions, INC

Pivotal Interventions, INC was paid $67K by Medicaid between Sep 2020 and Dec 2021, across 3 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 37% of everything it billed.

33Billing provider infoPIVOTAL INTERVENTIONS, INC
POTTSVILLE, PA 17901

33aNPI1366966996assigned 07/25/2017

33bProvider typeBehavioral Analyst

28Total paid$67K

24GClaims1,189

24DCodes billed3

24AFirst – last monthSep 2020 – Dec 2021

Compared with peers

Next to other Behavioral Analyst providers in Pennsylvania

Rank by total paid#39 of 41

Median peer was paid$1.19M

This provider vs. median0.1×

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
2020	289	$20K
2021	900	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	37%	441	140	$25K
97530	Therapeutic activities, direct patient contact, each 15 minutes	36%	522	195	$24K
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	27%	226	12	$18K

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 officialSTRAUSSER, MARY (PRESIDENT)