Paragon Autism Services, LLC

Paragon Autism Services, LLC was paid $21.55M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is H2033, Multisystemic therapy for juveniles, per 15 minutes — 64% of everything it billed.

33Billing provider infoPARAGON AUTISM SERVICES, LLC
FREDERICKSBURG, VA 22401

33aNPI1720427875assigned 06/21/2013

33bProvider typeBehavioral Analyst

28Total paid$21.55M

24GClaims97,096

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Behavioral Analyst providers in Virginia

Rank by total paid#4 of 76

Median peer was paid$308K

This provider vs. median70×

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
2018	14,510	$3.39M
2019	16,231	$3.58M
2020	15,110	$3.43M
2021	15,130	$3.44M
2022	8,659	$1.78M
2023	12,478	$2.92M
2024incomplete	14,978	$3.01M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2033	Multisystemic therapy for juveniles, per 15 minutes	64%	60,161	3,125	$13.70M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	16%	13,142	1,871	$3.49M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	16%	19,740	1,744	$3.45M
97151		2.9%	1,729	416	$633K
97156		1.3%	2,324	940	$280K

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 officialDESCANO, DOROTHY (PRESIDENT/CHIEF OPERATING OFFICER)