Ability Builders for Children, LLC

Ability Builders for Children, LLC was paid $22.50M by Medicaid between Apr 2019 and Dec 2024, across 24 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 20% of everything it billed.

33Billing provider infoABILITY BUILDERS FOR CHILDREN, LLC
BRONX, NY 10461

33aNPI1790943066assigned 05/23/2008

33bProvider typeEarly Intervention Provider Agency

28Total paid$22.50M

24GClaims311,277

24DCodes billed24

24AFirst – last monthApr 2019 – Dec 2024

Compared with peers

Next to other Early Intervention Provider Agency providers in New York

Rank by total paid#9 of 257

Median peer was paid$416K

This provider vs. median54×

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	31,283	$2.34M
2020	57,798	$4.00M
2021	63,409	$4.43M
2022	65,303	$4.68M
2023	51,480	$3.90M
2024incomplete	42,004	$3.15M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	20%	56,720	8,049	$4.47M
H2014	Skills training and development, per 15 minutes	15%	37,057	4,421	$3.38M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	13%	38,001	7,747	$2.99M
97530	Therapeutic activities, direct patient contact, each 15 minutes	12%	33,423	6,132	$2.65M
96112		10%	7,002	4,054	$2.32M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	8.8%	62,944	8,304	$1.97M
92557		5.1%	37,436	5,801	$1.14M
97116		4.2%	11,888	3,515	$939K
H2027	Psychoeducational service, per 15 minutes	2.7%	6,528	701	$618K
H2037	Developmental delay prevention activities, dependent child of client, per 15 minutes	2.3%	5,667	688	$523K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	1.6%	4,672	1,409	$367K
96167		<1%	1,961	1,016	$208K

12 more codes

96168		<1%	1,777	$186K
97533		<1%	1,779	$139K
97166		<1%	779	$124K
96130		<1%	652	$102K
92523		<1%	651	$102K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	<1%	995	$93K
97165		<1%	544	$88K
96154		<1%	530	$56K
97167		<1%	125	$21K
92526		<1%	92	$7K
96159		<1%	31	$3K
96158		<1%	23	$2K

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 officialTRINIDAD, OLIVER (PRESIDENT)