Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Discovery ABA NC LLC

Discovery ABA NC LLC was paid $14.03M by Medicaid between Jan 2022 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 74% of everything it billed.

33Billing provider infoDISCOVERY ABA NC LLC
CHARLOTTE, NC 28202
33aNPI1427632579assigned 05/05/2021
33bProvider typeBehavioral Analyst
28Total paid$14.03M
24GClaims55,901
24DCodes billed4
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers

Next to other Behavioral Analyst providers in North Carolina

Rank by total paid#6 of 40
Median peer was paid$2.28M
This provider vs. median6.2×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
20226,651$1.69M
202324,256$5.60M
2024incomplete24,994$6.74M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 74% 37,048 2,531 $10.35M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 20% 12,960 2,387 $2.84M
97151 3.9% 2,179 722 $548K
97156 2.1% 3,714 1,481 $300K

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 officialELIAS, MARK (CEO)