Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Optimum Guidance Behavior Consulting, LLC

Optimum Guidance Behavior Consulting, LLC was paid $1.32M by Medicaid between Jan 2020 and Nov 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 86% of everything it billed.

33Billing provider infoOPTIMUM GUIDANCE BEHAVIOR CONSULTING, LLC
LOUISVILLE, CO 80027
33aNPI1811451693assigned 01/25/2019
28Total paid$1.32M
24GClaims5,284
24DCodes billed2
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers

Next to other Developmental Disabilities Clinic/Center providers in Colorado

Rank by total paid#5 of 8
Median peer was paid$1.32M
This provider vs. median1.0×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20201,327$211K
202138$6K
20231,891$400K
2024incomplete2,028$703K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 86% 4,208 484 $1.14M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 14% 1,076 397 $183K

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 officialMYERS, CARRIE (DIRECTOR)