Agency
ABA Concepts, INC.
ABA Concepts, INC. was paid $5.17M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 46% of everything it billed.
33Billing provider infoABA CONCEPTS, INC.
MALDEN, MA 02148
MALDEN, MA 02148
33aNPI1760868798assigned 07/31/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$5.17M
24GClaims31,516
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Massachusetts
Rank by total paid#60 of 169
Median peer was paid$1.37M
This provider vs. median3.8×
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 | 2,609 | $664K | |
| 2019 | 4,457 | $703K | |
| 2020 | 6,021 | $812K | |
| 2021 | 5,871 | $930K | |
| 2022 | 7,464 | $1.20M | |
| 2023 | 1,856 | $290K | |
| 2024incomplete | 3,238 | $566K |
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 | 46% | 16,467 | 1,577 | $2.39M |
| H0031 | Mental health assessment, by non-physician | 17% | 4,673 | 1,604 | $892K |
| H0032 | Mental health service plan development by non-physician | 13% | 3,089 | 1,166 | $691K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 11% | 3,889 | 456 | $591K |
| 97156 | 4.0% | 1,415 | 758 | $207K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 3.8% | 915 | 374 | $197K |
| H2012 | Behavioral health day treatment, per hour | 3.2% | 799 | 413 | $163K |
| 97154 | <1% | 269 | 99 | $38K |
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 officialFUENTES, BETZAIDA (PRESIDENT)