Matrix Behavior Solutions, LLC
Matrix Behavior Solutions, LLC was paid $75.61M by Medicaid between Sep 2020 and Dec 2024, across 12 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 53% of everything it billed.
33Billing provider infoMATRIX BEHAVIOR SOLUTIONS, LLC
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1760977649assigned 06/24/2018
33bProvider typeOccupational Therapist
28Total paid$75.61M
24GClaims342,630
24DCodes billed12
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Pennsylvania
Rank by total paid#1 of 222
Median peer was paid$19K
This provider vs. median3,914×
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 | |
|---|---|---|---|
| 2020 | 5,388 | $747K | |
| 2021 | 41,106 | $7.76M | |
| 2022 | 78,536 | $16.72M | |
| 2023 | 103,992 | $23.99M | |
| 2024incomplete | 113,608 | $26.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 53% | 159,820 | 12,284 | $40.31M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 17% | 52,782 | 15,820 | $12.49M |
| H2021 | Community-based wrap-around services, per 15 minutes | 10% | 46,736 | 4,197 | $7.90M |
| H0032 | Mental health service plan development by non-physician | 8.4% | 35,770 | 9,559 | $6.39M |
| 97151 | 6.2% | 18,883 | 5,023 | $4.71M | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.6% | 15,746 | 4,635 | $1.96M |
| 97154 | 1.6% | 7,475 | 1,819 | $1.22M | |
| H0046 | Mental health services, not otherwise specified | <1% | 1,721 | 450 | $214K |
| 97158 | <1% | 1,474 | 670 | $183K | |
| 97156 | <1% | 664 | 419 | $120K | |
| H0031 | Mental health assessment, by non-physician | <1% | 1,457 | 1,430 | $116K |
| 97152 | <1% | 102 | 39 | $5K |
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 officialKHAN, ROBIN (PRESIDENT)