Behavioral
Optimal Outcomes, LLC
Optimal Outcomes, LLC was paid $786K by Medicaid between Oct 2021 and Oct 2024, across 2 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 95% of everything it billed.
33Billing provider infoOPTIMAL OUTCOMES, LLC
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
33aNPI1497169312assigned 06/18/2014
33bProvider typeBehavioral Analyst
28Total paid$786K
24GClaims4,048
24DCodes billed2
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Behavioral Analyst providers in Missouri
Rank by total paid#12 of 28
Median peer was paid$404K
This provider vs. median1.9×
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 | 105 | $18K | |
| 2022 | 589 | $131K | |
| 2023 | 1,345 | $286K | |
| 2024incomplete | 2,009 | $351K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 95% | 3,759 | 764 | $749K |
| 97156 | 4.7% | 289 | 133 | $37K |
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 officialWILLIAMS, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Early Bird Pediatric Therapy Clinic, INC | El Paso, TX | $9.52M |
| Paradise Manor Retirement Home | Oakland Park, FL | $755K |
| Bamberg Medical Equipment & Supply | Bamberg, SC | $238K |
| Prompt Transportation Services | Rochester, NY | $113K |
| Michael O. Williams Dds.Pa | Gulfport, MS | $41K |
| Physician House Calls of Texas, P.A. | Midlothian, TX | $619.34 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.