Behavioral
A Change in Trajectory, INC.
A Change in Trajectory, INC. was paid $31.53M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 55% of everything it billed.
33Billing provider infoA CHANGE IN TRAJECTORY, INC.
VAN NUYS, CA 91406
VAN NUYS, CA 91406
33aNPI1750646667assigned 07/06/2012
33bProvider typeBehavioral Analyst
28Total paid$31.53M
24GClaims406,611
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#9 of 385
Median peer was paid$476K
This provider vs. median66×
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 | 68,603 | $5.23M | |
| 2019 | 92,896 | $7.23M | |
| 2020 | 71,372 | $5.41M | |
| 2021 | 63,558 | $4.74M | |
| 2022 | 48,594 | $3.45M | |
| 2023 | 32,557 | $2.56M | |
| 2024incomplete | 29,031 | $2.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 55% | 226,641 | 22,900 | $17.34M |
| H0032 | Mental health service plan development by non-physician | 20% | 75,940 | 15,426 | $6.45M |
| H0031 | Mental health assessment, by non-physician | 8.4% | 25,940 | 5,615 | $2.65M |
| H0046 | Mental health services, not otherwise specified | 6.4% | 24,205 | 5,275 | $2.02M |
| S5111 | Home care training, family; per session | 4.4% | 37,794 | 14,643 | $1.38M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 2.9% | 8,370 | 863 | $920K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 1.6% | 3,885 | 1,034 | $503K |
| 97156 | <1% | 1,870 | 705 | $167K | |
| 97151 | <1% | 698 | 353 | $62K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,268 | 490 | $44K |
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 officialFELDMAN, MARIELA (DIRECTOR)