Clinic
Healthwest Autism Program
Healthwest Autism Program was paid $40K by Medicaid between Sep 2019 and Jan 2020, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 70% of everything it billed.
33Billing provider infoHEALTHWEST AUTISM PROGRAM
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1447789862assigned 06/08/2017
28Total paid$40K
24GClaims289
24DCodes billed3
24AFirst – last monthSep 2019 – Jan 2020
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Michigan
Rank by total paid#87 of 117
Median peer was paid$339K
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 | |
|---|---|---|---|
| 2019 | 239 | $33K | |
| 2020 | 50 | $7K |
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 | 70% | 185 | 44 | $28K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 17% | 50 | 22 | $7K |
| S5111 | Home care training, family; per session | 14% | 54 | 28 | $5K |
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 officialBUSH, SANDRA (BILLER)
Parent organizationCOUNTY OF MUSKEGON