Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Potential Discoveries

Potential Discoveries was paid $41K by Medicaid between Jan 2024 and Jul 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 85% of everything it billed.

33Billing provider infoPOTENTIAL DISCOVERIES
WILLOW GROVE, PA 19090
33aNPI1669728630assigned 07/27/2012
28Total paid$41K
24GClaims1,018
24DCodes billed2
24AFirst – last monthJan 2024 – Jul 2024
Compared with peers

Next to other Early Intervention Provider Agency providers in Pennsylvania

Rank by total paid#62 of 64
Median peer was paid$384K
This provider vs. median0.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete1,018$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 85% 767 103 $35K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 15% 251 101 $6K

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 officialBROWN, NAJAH (OWNER/DIRECTOR)