Clinic
Marcus Autism Center, INC.
Marcus Autism Center, INC. was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoMARCUS AUTISM CENTER, INC.
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
33aNPI1598928111assigned 07/03/2008
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$3.39M
24GClaims45,434
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,219 | $331K | |
| 2019 | 7,004 | $410K | |
| 2020 | 5,483 | $353K | |
| 2021 | 6,538 | $440K | |
| 2022 | 6,532 | $491K | |
| 2023 | 7,499 | $679K | |
| 2024incomplete | 7,159 | $684K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 44% | 21,834 | 21,261 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 7,848 | 7,698 | $359K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 3,226 | 3,142 | $342K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.9% | 1,601 | 1,580 | $201K |
| 96131 | 4.1% | 659 | 641 | $137K | |
| 99205 | Prolong outpt/office vis | 3.8% | 1,017 | 999 | $127K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.7% | 1,121 | 552 | $127K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 1,661 | 1,029 | $67K |
| 96130 | 2.0% | 656 | 642 | $67K | |
| 96101 | 1.9% | 164 | 155 | $65K | |
| 96137 | 1.9% | 447 | 437 | $64K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 370 | 369 | $42K |
29 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 674 | $40K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.2% | 248 | $40K |
| 97151 | 1.0% | 206 | $35K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 245 | $25K |
| 96136 | <1% | 490 | $22K | |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 144 | $22K |
| 97803 | <1% | 596 | $13K | |
| 92526 | <1% | 546 | $12K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 61 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 91 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 280 | $8K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 151 | $8K |
| 96112 | <1% | 68 | $7K | |
| 92610 | <1% | 139 | $6K | |
| 97802 | <1% | 92 | $5K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 118 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 136 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 33 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 166 | $3K |
| 96102 | <1% | 63 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 61 | $1K |
| 97167 | <1% | 14 | $562.74 | |
| 97156 | <1% | 25 | $558.29 | |
| 90785 | <1% | 79 | $230.42 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $69.29 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 32 | $11.49 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | $11.40 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 32 | $8.06 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 14 | $0.00 |
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 officialFOWLER, RUTH (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Scottish Rite Children's Medical Center | Atlanta, GA | $493.38M |
| Urgent Care at Children's, INC. | Brookhaven, GA | $48.86M |
| Children's Sedation Services, LLC | Brookhaven, GA | $1.09M |
| Children's Anesthesia Services, LLC | Brookhaven, GA | $928K |
| Children's BMH Providers, LLC | Brookhaven, GA | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.