Shimansky, Sean

Shimansky, Sean was paid $211K by Medicaid between Mar 2023 and Oct 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 65% of everything it billed.

33Billing provider infoSHIMANSKY, SEAN
EAST LONGMEADOW, MA 01028

33aNPI1598449431assigned 06/12/2023

33bProvider typeBehavioral Analyst

28Total paid$211K

24GClaims1,278

24DCodes billed3

24AFirst – last monthMar 2023 – Oct 2024

Compared with peers

Next to other Behavioral Analyst providers in Massachusetts

Rank by total paid#78 of 150

Median peer was paid$228K

This provider vs. median0.9×

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
2023	427	$63K
2024incomplete	851	$148K

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	65%	773	94	$138K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	18%	232	81	$38K
H0031	Mental health assessment, by non-physician	17%	273	105	$35K

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.