Behavioral
Behavior By Design, LLC
Behavior By Design, LLC was paid $3.85M by Medicaid between Sep 2021 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 58% of everything it billed.
33Billing provider infoBEHAVIOR BY DESIGN, LLC
YORK, PA 17403
YORK, PA 17403
33aNPI1477856755assigned 12/08/2010
33bProvider typeBehavioral Analyst
28Total paid$3.85M
24GClaims18,012
24DCodes billed4
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Pennsylvania
Rank by total paid#14 of 41
Median peer was paid$1.19M
This provider vs. median3.2×
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
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 | |
|---|---|---|---|
| 2021 | 957 | $157K | |
| 2022 | 4,444 | $797K | |
| 2023 | 6,399 | $1.47M | |
| 2024incomplete | 6,212 | $1.43M |
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 | 58% | 10,723 | 922 | $2.25M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 27% | 3,698 | 967 | $1.05M |
| 97151 | 9.2% | 2,237 | 922 | $352K | |
| 97156 | 5.2% | 1,354 | 693 | $199K |
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 officialTYSON, MATTHEW (CLINICAL DIRECTOR/CEO)