Potential INC.
Potential INC. was paid $3.45M by Medicaid between Aug 2020 and Nov 2024, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 58% of everything it billed.
33Billing provider infoPOTENTIAL INC.
NEWTOWN, PA 18940
NEWTOWN, PA 18940
33aNPI1780825760assigned 03/20/2009
33bProvider typeOccupational Therapist
28Total paid$3.45M
24GClaims26,192
24DCodes billed6
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Occupational Therapist providers in Pennsylvania
Rank by total paid#7 of 222
Median peer was paid$19K
This provider vs. median178×
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 | 2,090 | $273K | |
| 2021 | 6,186 | $684K | |
| 2022 | 5,340 | $769K | |
| 2023 | 7,239 | $839K | |
| 2024incomplete | 5,337 | $881K |
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 | 58% | 12,836 | 1,208 | $1.98M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 26% | 8,042 | 1,406 | $881K |
| H2021 | Community-based wrap-around services, per 15 minutes | 5.6% | 995 | 107 | $193K |
| 97151 | 5.4% | 1,814 | 612 | $186K | |
| H0046 | Mental health services, not otherwise specified | 3.8% | 1,444 | 220 | $131K |
| 97156 | 2.0% | 1,061 | 731 | $70K |
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 officialQUINBY, KRISTINE (PRESIDENT & CEO)