Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Gagnon, Nicholas

Gagnon, Nicholas was paid $824K by Medicaid between Jan 2024 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.

33Billing provider infoGAGNON, NICHOLAS
DEDHAM, MA 02026
33aNPI1508562554assigned 02/01/2023
33bProvider typeBehavioral Analyst
28Total paid$824K
24GClaims3,128
24DCodes billed4
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers

Next to other Behavioral Analyst providers in Massachusetts

Rank by total paid#41 of 150
Median peer was paid$228K
This provider vs. median3.6×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete3,128$824K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 84% 2,218 162 $689K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 14% 759 106 $117K
H0031 Mental health assessment, by non-physician 2.0% 137 37 $16K
97156 <1% 14 12 $1K

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.