Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BALANCE AUTISM

NPI: 1437290129 · ALTOONA, IA 50009 · Behavioral Analyst · NPI assigned 02/08/2007

$34.84M
Total Medicaid Paid
305,679
Total Claims
44,134
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKLEY, LUANN (DIRECTOR OF OPERATIONS)
NPI Enumeration Date02/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,039 $6.49M
2019 52,297 $4.85M
2020 35,925 $4.35M
2021 43,223 $5.44M
2022 44,572 $4.89M
2023 50,903 $5.03M
2024 29,720 $3.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 148,567 9,880 $17.96M
G9012 Other specified case management service not elsewhere classified 48,901 12,409 $4.80M
97154 26,444 2,932 $2.58M
H2016 Comprehensive community support services, per diem 6,192 305 $2.24M
H2019 Therapeutic behavioral services, per 15 minutes 24,735 1,495 $2.14M
97156 25,455 9,200 $1.43M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 7,871 2,444 $1.11M
97151 6,577 2,586 $990K
S5136 Companion care, adult (e.g., iadl/adl); per diem 2,349 117 $852K
H2015 Comprehensive community support services, per 15 minutes 676 496 $237K
S5110 Home care training, family; per 15 minutes 4,059 1,322 $209K
H2014 Skills training and development, per 15 minutes 2,159 272 $167K
S5108 Home care training to home care client, per 15 minutes 902 199 $66K
97158 340 199 $22K
H0032 Mental health service plan development by non-physician 208 113 $12K
97152 60 39 $5K
T1005 Respite care services, up to 15 minutes 145 112 $5K
97157 39 14 $2K