Behavioral
Gem City Behavioral Solutions, LLC
Gem City Behavioral Solutions, LLC was paid $39K by Medicaid between Mar 2022 and Jun 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 81% of everything it billed.
33Billing provider infoGEM CITY BEHAVIORAL SOLUTIONS, LLC
DAYTON, OH 45432
DAYTON, OH 45432
33aNPI1659905826assigned 02/26/2020
33bProvider typeSocial Worker
28Total paid$39K
24GClaims428
24DCodes billed2
24AFirst – last monthMar 2022 – Jun 2024
Compared with peers
Next to other Social Worker providers in Ohio
Rank by total paid#61 of 225
Median peer was paid$12K
This provider vs. median3.3×
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 | 84 | $11K | |
| 2024incomplete | 344 | $29K |
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 | 81% | 334 | 36 | $32K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 19% | 94 | 24 | $7K |
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 officialSLUSSER, WILLIAM (OWNER)