Behavioral
Breakthrough Autism Solutions, PLLC
Breakthrough Autism Solutions, PLLC was paid $2.13M by Medicaid between Sep 2022 and Nov 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 72% of everything it billed.
33Billing provider infoBREAKTHROUGH AUTISM SOLUTIONS, PLLC
WILMINGTON, NC 28405
WILMINGTON, NC 28405
33aNPI1619564648assigned 12/23/2020
33bProvider typePsychologist
28Total paid$2.13M
24GClaims6,849
24DCodes billed3
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Psychologist providers in North Carolina
Rank by total paid#9 of 96
Median peer was paid$141K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2022 | 532 | $169K | |
| 2023 | 2,966 | $877K | |
| 2024incomplete | 3,351 | $1.08M |
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 | 72% | 4,616 | 329 | $1.53M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 28% | 2,208 | 352 | $601K |
| 97156 | <1% | 25 | 13 | $1K |
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 officialLEUCK, ASHLEIGH (OWNER/BEHAVIOR ANALYST)