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

Autism Center of Excellence LLC

Autism Center of Excellence LLC was paid $5.20M by Medicaid between May 2023 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 79% of everything it billed.

33Billing provider infoAUTISM CENTER OF EXCELLENCE LLC
DURHAM, NC 27713
33aNPI1730822933assigned 04/15/2022
33bProvider typeBehavioral Analyst
28Total paid$5.20M
24GClaims17,022
24DCodes billed4
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

Next to other Behavioral Analyst providers in North Carolina

Rank by total paid#13 of 40
Median peer was paid$2.28M
This provider vs. median2.3×

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

$0$200K$400K$600K2018201920202021202220232024
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
20235,362$1.48M
2024incomplete11,660$3.71M
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 79% 12,132 698 $4.09M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 18% 3,655 659 $926K
97151 2.7% 671 167 $139K
97156 <1% 564 278 $46K

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 officialBHASIN, RAJESH (PRESIDENT)