Behavioral
Sample Services
Sample Services was paid $68K by Medicaid between Oct 2018 and Jun 2019, across 3 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 45% of everything it billed.
33Billing provider infoSAMPLE SERVICES
LONGMONT, CO 80501
LONGMONT, CO 80501
33aNPI1568791911assigned 12/14/2009
33bProvider typeClinical Social Worker
28Total paid$68K
24GClaims384
24DCodes billed3
24AFirst – last monthOct 2018 – Jun 2019
Compared with peers
Next to other Clinical Social Worker providers in Colorado
Rank by total paid#78 of 268
Median peer was paid$24K
This provider vs. median2.8×
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 | 119 | $26K | |
| 2019 | 265 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 45% | 114 | 94 | $31K |
| H0046 | Mental health services, not otherwise specified | 37% | 161 | 81 | $26K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 17% | 109 | 90 | $12K |
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 officialSAMPLE, CARMEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sample Supports | Longmont, CO | $105.67M |
| Sample Supports, LLC | Longmont, CO | $1.74M |
| Sample Supports, LLC | Fort Collins, CO | $1.08M |
| Sample Supports, LLC | Thornton, CO | $1.07M |
| Sample Services | Longmont, CO | $113K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.