Managed care
Behavioral Innovations Therapy, LLC
Behavioral Innovations Therapy, LLC was paid $1.09M by Medicaid between Jan 2020 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 79% of everything it billed.
33Billing provider infoBEHAVIORAL INNOVATIONS THERAPY, LLC
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1568906394assigned 12/13/2016
33bProvider typePreferred Provider Organization
28Total paid$1.09M
24GClaims12,318
24DCodes billed3
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in South Carolina
Rank by total paid#3 of 7
Median peer was paid$452K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2020 | 2,511 | $144K | |
| 2021 | 3,127 | $185K | |
| 2022 | 2,159 | $132K | |
| 2023 | 2,086 | $268K | |
| 2024incomplete | 2,435 | $365K |
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 | 79% | 10,091 | 1,131 | $860K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 21% | 2,071 | 885 | $227K |
| 97156 | <1% | 156 | 151 | $7K |
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 officialWILSON, MELISSA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Santa Fe Therapy Associates | Santa Fe, NM | $4.18M |
| Melissa Wilson LMFT LLC | Lihue, HI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.