Behavioral
Margaret Roth, INC
Margaret Roth, INC was paid $951K by Medicaid between Aug 2023 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 80% of everything it billed.
33Billing provider infoMARGARET ROTH, INC
STAUNTON, VA 24401
STAUNTON, VA 24401
33aNPI1811501893assigned 09/07/2020
33bProvider typeBehavioral Analyst
28Total paid$951K
24GClaims5,027
24DCodes billed3
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Virginia
Rank by total paid#27 of 76
Median peer was paid$308K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2023 | 1,208 | $200K | |
| 2024incomplete | 3,819 | $751K |
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 | 80% | 4,218 | 300 | $762K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 18% | 633 | 232 | $171K |
| 97156 | 2.0% | 176 | 93 | $19K |
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 officialROTH, MARGARET (OWNER)