Gemstones ABA Center, LLC

Gemstones ABA Center, LLC was paid $3.07M by Medicaid between Dec 2022 and Mar 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 88% of everything it billed.

33Billing provider infoGEMSTONES ABA CENTER, LLC
CARY, NC 27518

33aNPI1427717453assigned 12/17/2021

33bProvider typeBehavior Technician

28Total paid$3.07M

24GClaims8,277

24DCodes billed3

24AFirst – last monthDec 2022 – Mar 2024

Compared with peers

Next to other Behavior Technician providers in North Carolina

Rank by total paid#1 of 5

Median peer was paid$1.20M

This provider vs. median2.5×

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
2022	182	$101K
2023	7,013	$2.45M
2024incomplete	1,082	$516K

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	88%	5,641	206	$2.70M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	12%	2,553	167	$361K
97156		<1%	83	37	$4K

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 officialKUNI, DONNA (OWNER/CLINIC DIRECTOR)