Behavioral
Theracare Managed Services, LLC
Theracare Managed Services, LLC was paid $427K by Medicaid between Apr 2021 and Oct 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 92% of everything it billed.
33Billing provider infoTHERACARE MANAGED SERVICES, LLC
LONG ISLAND CITY, NY 11101
LONG ISLAND CITY, NY 11101
33aNPI1558834036assigned 01/07/2019
33bProvider typeBehavior Technician
28Total paid$427K
24GClaims3,946
24DCodes billed4
24AFirst – last monthApr 2021 – Oct 2024
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 | 1,557 | $143K | |
| 2022 | 1,780 | $163K | |
| 2023 | 190 | $38K | |
| 2024incomplete | 419 | $83K |
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 | 92% | 3,748 | 271 | $395K |
| 97156 | 3.9% | 86 | 13 | $17K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 2.9% | 77 | 24 | $12K |
| H0046 | Mental health services, not otherwise specified | <1% | 35 | 16 | $3K |
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 officialCALDERON, JOHN (PRESIDENT/CEO)
Parent organizationTHERACARE OF NEW YORK, INC.
| Provider | Location | Paid |
|---|---|---|
| Theracare of New York INC | New York, NY | $43.65M |
| Theracare of New York, INC. | Norwalk, CT | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.