Rise Center for Autism

Rise Center for Autism was paid $789K by Medicaid between Jun 2018 and Dec 2024, across 7 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 45% of everything it billed.

33Billing provider infoRISE CENTER FOR AUTISM
PRUDENVILLE, MI 48651

33aNPI1538698576assigned 06/05/2017

33bProvider typeClinic/Center

28Total paid$789K

24GClaims4,942

24DCodes billed7

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Michigan

Rank by total paid#19 of 121

Median peer was paid$71K

This provider vs. median11×

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
2018	1,952	$226K
2019	2,026	$391K
2022	345	$79K
2024incomplete	619	$93K

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	45%	1,874	148	$359K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	20%	684	146	$154K
0365T		18%	761	63	$138K
0369T		7.1%	239	63	$56K
97156		6.4%	432	175	$50K
0364T		2.2%	712	63	$17K
0368T		1.8%	240	63	$14K

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 officialFICAJ, MARGARET (CLINICAL DIRECTOR)