Behavioral
Balance Autism
Balance Autism was paid $43.30M by Medicaid between Aug 2018 and Oct 2024, across 7 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 76% of everything it billed.
33Billing provider infoBALANCE AUTISM
ALTOONA, IA 50009
ALTOONA, IA 50009
33aNPI1821460833assigned 10/29/2015
33bProvider typeBehavioral Analyst
28Total paid$43.30M
24GClaims129,427
24DCodes billed7
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Behavioral Analyst providers in Iowa
Rank by total paid#1 of 6
Median peer was paid$3.14M
This provider vs. median14×
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 | 9,581 | $2.17M | |
| 2019 | 19,234 | $5.67M | |
| 2020 | 19,474 | $6.46M | |
| 2021 | 21,603 | $7.09M | |
| 2022 | 21,319 | $7.07M | |
| 2023 | 20,251 | $7.58M | |
| 2024incomplete | 17,965 | $7.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 76% | 92,159 | 3,516 | $32.78M |
| S5136 | Companion care, adult (e.g., iadl/adl); per diem | 17% | 29,178 | 1,042 | $7.45M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 4.9% | 4,133 | 3,761 | $2.13M |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 2.1% | 3,433 | 815 | $915K |
| T2018 | Habilitation, supported employment, waiver; per diem | <1% | 153 | 40 | $14K |
| T1005 | Respite care services, up to 15 minutes | <1% | 354 | 293 | $11K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 17 | 12 | $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 officialJAHNER, LUANN (OPERATIONS DIRECTOR)