Managed care
Lee's Developmental Services
Lee's Developmental Services was paid $4.02M by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 62% of everything it billed.
33Billing provider infoLEE'S DEVELOPMENTAL SERVICES
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
33aNPI1801229703assigned 08/14/2013
33bProvider typeHealth Maintenance Organization
28Total paid$4.02M
24GClaims25,640
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in New Jersey
Rank by total paid#4 of 10
Median peer was paid$756K
This provider vs. median5.3×
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 | 996 | $464K | |
| 2019 | 947 | $223K | |
| 2021 | 3,004 | $323K | |
| 2022 | 6,257 | $646K | |
| 2023 | 7,277 | $1.17M | |
| 2024incomplete | 7,159 | $1.19M |
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 | 62% | 18,384 | 1,086 | $2.50M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 14% | 3,189 | 1,122 | $544K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 11% | 1,611 | 323 | $427K |
| 97156 | 6.9% | 2,071 | 1,001 | $277K | |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 6.5% | 332 | 274 | $260K |
| 97151 | <1% | 53 | 13 | $11K |
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 officialLEE, EDNA (OWNER)