Paragon Behavioral Health Services, LLC

Paragon Behavioral Health Services, LLC was paid $10.78M by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 61% of everything it billed.

33Billing provider infoPARAGON BEHAVIORAL HEALTH SERVICES, LLC
WYOMISSING, PA 19610

33aNPI1568975738assigned 11/10/2017

33bProvider typeMental Health Counselor

28Total paid$10.78M

24GClaims59,284

24DCodes billed8

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Pennsylvania

Rank by total paid#12 of 227

Median peer was paid$77K

This provider vs. median139×

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	2,734	$365K
2021	15,074	$2.44M
2022	14,493	$2.51M
2023	13,761	$2.63M
2024incomplete	13,222	$2.84M

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	61%	35,764	2,962	$6.58M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	30%	17,662	4,265	$3.23M
97151		4.4%	2,319	653	$479K
H2021	Community-based wrap-around services, per 15 minutes	2.4%	1,893	174	$257K
H0046	Mental health services, not otherwise specified	1.2%	1,017	272	$125K
97154		<1%	532	76	$101K
H0031	Mental health assessment, by non-physician	<1%	78	74	$3K
97156		<1%	19	15	$2K

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 officialMCCLAIN, KRYN (PRESIDENT)