Virtus Health, LLC

Virtus Health, LLC was paid $253K by Medicaid between Aug 2018 and Mar 2023, across 5 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.

33Billing provider infoVIRTUS HEALTH, LLC
PORT CHARLOTTE, FL 33953

33aNPI1417238338assigned 09/06/2011

33bProvider typeAssistant Behavior Analyst

28Total paid$253K

24GClaims1,100

24DCodes billed5

24AFirst – last monthAug 2018 – Mar 2023

Compared with peers

Next to other Assistant Behavior Analyst providers in Florida

Rank by total paid#16 of 37

Median peer was paid$163K

This provider vs. median1.6×

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	55	$0.00
2019	87	$10K
2023	958	$243K

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	84%	651	38	$212K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	11%	265	37	$28K
H2014	Skills training and development, per 15 minutes	4.0%	87	18	$10K
97156		1.1%	42	24	$3K
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	0%	55	24	$0.00

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 officialPELKEY, REILLY (VP DIRECTOR OF CLIENT SERVICES)