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

Apex Behavior Consulting LLC

Apex Behavior Consulting LLC was paid $2.56M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 53% of everything it billed.

33Billing provider infoAPEX BEHAVIOR CONSULTING LLC
SALT LAKE CITY, UT 84106
33aNPI1528369980assigned 11/16/2010
33bProvider typeBehavioral Analyst
28Total paid$2.56M
24GClaims25,186
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Behavioral Analyst providers in Utah

Rank by total paid#4 of 17
Median peer was paid$192K
This provider vs. median13×

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$25K$50K$75K2018201920202021202220232024
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
20184,690$452K
20194,110$399K
20204,142$384K
20214,356$328K
20222,846$274K
20232,967$413K
2024incomplete2,075$306K
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 53% 14,943 1,323 $1.36M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 25% 4,765 1,296 $626K
0364T 13% 3,796 300 $327K
0368T 4.9% 894 301 $125K
H0032 Mental health service plan development by non-physician 4.4% 788 285 $113K

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 officialHANSON, BONNIE (CLINICAL SUPERVISOR)