Behavioral
Easter Seals Southern California, INC
Easter Seals Southern California, INC was paid $49.45M by Medicaid between Sep 2020 and Dec 2024, across 16 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 36% of everything it billed.
33Billing provider infoEASTER SEALS SOUTHERN CALIFORNIA, INC
IRVINE, CA 92614
IRVINE, CA 92614
33aNPI1619255841assigned 07/21/2011
33bProvider typeBehavioral Analyst
28Total paid$49.45M
24GClaims684,469
24DCodes billed16
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#5 of 385
Median peer was paid$476K
This provider vs. median104×
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 | 15,335 | $194K | |
| 2021 | 220,135 | $20.59M | |
| 2022 | 217,606 | $10.20M | |
| 2023 | 161,434 | $8.36M | |
| 2024incomplete | 69,959 | $10.10M |
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 | 36% | 222,112 | 21,259 | $17.65M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 18% | 82,461 | 35,842 | $9.13M |
| 97535 | Self-care/home management training, each 15 minutes | 14% | 68,021 | 21,984 | $6.94M |
| 90885 | 11% | 60,114 | 32,413 | $5.34M | |
| 97154 | 8.4% | 35,459 | 15,437 | $4.14M | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 8.4% | 87,870 | 23,692 | $4.13M |
| 97151 | 3.6% | 1,268 | 1,263 | $1.77M | |
| 99072 | <1% | 118,995 | 15,271 | $271K | |
| 97167 | <1% | 121 | 121 | $31K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,836 | 1,207 | $24K |
| 97156 | <1% | 3,186 | 981 | $12K | |
| 97166 | <1% | 44 | 44 | $6K |
4 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 officialBERGLUND, SUSAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Easter Seals Southern California, INC | Anaheim, CA | $78.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.