Behavioral
Balance Speech and Behavior LLC
Balance Speech and Behavior LLC was paid $1.48M by Medicaid between Feb 2022 and Dec 2024, across 5 billing codes. Its largest line is T1026, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour — 38% of everything it billed.
33Billing provider infoBALANCE SPEECH AND BEHAVIOR LLC
ALBUQUERQUE, NM 87120
ALBUQUERQUE, NM 87120
33aNPI1568054591assigned 02/10/2021
33bProvider typeBehavioral Analyst
28Total paid$1.48M
24GClaims7,202
24DCodes billed5
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in New Mexico
Rank by total paid#4 of 10
Median peer was paid$152K
This provider vs. median9.7×
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 | |
|---|---|---|---|
| 2022 | 1,915 | $331K | |
| 2023 | 3,718 | $826K | |
| 2024incomplete | 1,569 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour | 38% | 2,941 | 704 | $556K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 31% | 2,676 | 442 | $455K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 22% | 1,341 | 423 | $325K |
| 97151 | 9.2% | 182 | 65 | $135K | |
| 97156 | <1% | 62 | 39 | $6K |
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 officialSANTACROCE, MELISA (OWNER)