Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pennsylvania Autism Action Center LLC

Pennsylvania Autism Action Center LLC was paid $241K by Medicaid between Oct 2020 and Jul 2022, across 5 billing codes. Its largest line is 97533, — 69% of everything it billed.

33Billing provider infoPENNSYLVANIA AUTISM ACTION CENTER LLC
BRODHEADSVILLE, PA 18322
33aNPI1568809275assigned 06/04/2013
28Total paid$241K
24GClaims5,399
24DCodes billed5
24AFirst – last monthOct 2020 – Jul 2022
Compared with peers

Next to other Pediatric Occupational Therapist providers in Pennsylvania

Rank by total paid#7 of 23
Median peer was paid$116K
This provider vs. median2.1×

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$20K$40K2018201920202021202220232024
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
2020280$10K
20212,701$109K
20222,418$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97533 69% 2,519 648 $165K
97530 Therapeutic activities, direct patient contact, each 15 minutes 16% 1,638 519 $39K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7.6% 1,104 335 $18K
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 5.6% 99 13 $14K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 1.9% 39 12 $5K

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 officialDEMARSH, MICHELLE (PRINCIPAL OWNER)