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

Applied Behavior Institute LLC

Applied Behavior Institute LLC was paid $3.01M by Medicaid between Jul 2020 and Nov 2024, across 7 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 72% of everything it billed.

33Billing provider infoAPPLIED BEHAVIOR INSTITUTE LLC
MARLBOROUGH, MA 01752
33aNPI1679114474assigned 10/02/2019
28Total paid$3.01M
24GClaims13,963
24DCodes billed7
24AFirst – last monthJul 2020 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2020957$169K
20234,846$1.07M
2024incomplete8,160$1.77M
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 72% 8,386 742 $2.18M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 14% 2,761 622 $435K
H0031 Mental health assessment, by non-physician 7.0% 1,584 601 $210K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 4.4% 720 69 $133K
97156 1.2% 404 280 $37K
97151 <1% 84 38 $15K
H0032 Mental health service plan development by non-physician <1% 24 12 $3K

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 officialBENOTTI, NICOLE (CREDENTIALING SPECIALIST)