Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agapi Behavioral Consultants

Agapi Behavioral Consultants was paid $15.05M by Medicaid between Jan 2018 and Apr 2022, across 14 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 48% of everything it billed.

33Billing provider infoAGAPI BEHAVIORAL CONSULTANTS
GREENVILLE, SC 29615
33aNPI1821494584assigned 11/07/2014
28Total paid$15.05M
24GClaims183,936
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Community/Behavioral Health Agency providers in South Carolina

Rank by total paid#3 of 79
Median peer was paid$526K
This provider vs. median29×

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$250K$500K$750K2018201920202021202220232024
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
201866,109$3.16M
201951,946$3.26M
202028,127$2.69M
202132,924$4.91M
20224,830$1.04M
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 48% 52,188 3,830 $7.20M
0365T 18% 31,686 2,258 $2.73M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 15% 17,659 3,898 $2.21M
0369T 5.1% 8,778 2,349 $764K
0364T 3.3% 32,598 2,262 $501K
0363T 3.2% 10,117 764 $483K
0361T 3.2% 3,276 732 $476K
0368T 2.4% 12,420 2,549 $359K
97156 <1% 891 502 $113K
0362T <1% 10,303 769 $89K
0360T <1% 3,334 736 $62K
97151 <1% 325 210 $41K
2 more codes
0359T <1% 177 $19K
0370T <1% 184 $10K

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 officialBOURRET, NINA (CO-OWNER)