Agency
E.Sholom INC.
E.Sholom INC. was paid $12.39M by Medicaid between Apr 2019 and Dec 2024, across 11 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 26% of everything it billed.
33Billing provider infoE.SHOLOM INC.
RICHMOND HILL, NY 11418
RICHMOND HILL, NY 11418
33aNPI1750698353assigned 09/03/2010
33bProvider typeEarly Intervention Provider Agency
28Total paid$12.39M
24GClaims188,820
24DCodes billed11
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Early Intervention Provider Agency providers in New York
Rank by total paid#23 of 257
Median peer was paid$416K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2019 | 18,418 | $1.10M | |
| 2020 | 28,975 | $1.74M | |
| 2021 | 35,721 | $2.33M | |
| 2022 | 39,097 | $2.64M | |
| 2023 | 36,174 | $2.52M | |
| 2024incomplete | 30,435 | $2.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 26% | 30,581 | 2,072 | $3.23M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 18% | 57,479 | 7,767 | $2.24M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 17% | 28,149 | 4,442 | $2.14M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 11% | 18,075 | 2,460 | $1.38M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 9.1% | 15,425 | 2,158 | $1.13M |
| 92557 | 8.3% | 26,901 | 4,120 | $1.03M | |
| 97129 | 6.5% | 10,084 | 1,633 | $805K | |
| 96112 | 2.9% | 1,140 | 650 | $355K | |
| 97127 | <1% | 758 | 146 | $62K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 206 | 33 | $16K |
| 97165 | <1% | 22 | 13 | $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 officialPETERS-REFFELL, CAMILLE (PROGRAM DIRECTOR)