Behavioral
A Behavioral Apporach
A Behavioral Apporach was paid $515K by Medicaid between Sep 2021 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 98% of everything it billed.
33Billing provider infoA BEHAVIORAL APPORACH
CLINTON, CT 06413
CLINTON, CT 06413
33aNPI1659814366assigned 11/29/2016
33bProvider typeBehavioral Analyst
28Total paid$515K
24GClaims3,880
24DCodes billed3
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Connecticut
Rank by total paid#18 of 42
Median peer was paid$264K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 262 | $41K | |
| 2022 | 936 | $150K | |
| 2023 | 1,126 | $144K | |
| 2024incomplete | 1,556 | $181K |
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 | 98% | 3,713 | 431 | $505K |
| H0046 | Mental health services, not otherwise specified | 1.6% | 96 | 40 | $8K |
| 97158 | <1% | 71 | 25 | $2K |
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 officialSANTOS, MONICA (FOUNDER/CEO)