Behavioral
Therapy Smarts INC
Therapy Smarts INC was paid $6.60M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 48% of everything it billed.
33Billing provider infoTHERAPY SMARTS INC
MORRISVILLE, NC 27560
MORRISVILLE, NC 27560
33aNPI1598154098assigned 01/21/2015
33bProvider typeProfessional Counselor
28Total paid$6.60M
24GClaims89,436
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in North Carolina
Rank by total paid#7 of 214
Median peer was paid$108K
This provider vs. median61×
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 | 9,847 | $701K | |
| 2019 | 8,130 | $607K | |
| 2020 | 8,220 | $615K | |
| 2021 | 15,430 | $768K | |
| 2022 | 11,414 | $781K | |
| 2023 | 14,319 | $1.06M | |
| 2024incomplete | 22,076 | $2.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 48% | 51,597 | 9,946 | $3.19M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 40% | 30,470 | 6,476 | $2.66M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 7.3% | 1,069 | 69 | $484K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 1.9% | 484 | 69 | $125K |
| 92523 | <1% | 366 | 342 | $52K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 403 | 108 | $38K |
| 92526 | <1% | 607 | 193 | $31K | |
| 97167 | <1% | 188 | 168 | $11K | |
| 97168 | <1% | 185 | 168 | $7K | |
| 97166 | <1% | 50 | 41 | $3K | |
| 96112 | <1% | 268 | 238 | $2K | |
| 92521 | <1% | 21 | 19 | $2K |
3 more codes
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 officialSHAH, AVANI (SPEECH LANGUAGE PATHOLOGIST)
| Provider | Location | Paid |
|---|---|---|
| Reliacare, LTD | Downers Grove, IL | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.