Behavioral
Abc Children Behavior LLC
Abc Children Behavior LLC was paid $294K by Medicaid between Jul 2022 and Dec 2024, across 3 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 66% of everything it billed.
33Billing provider infoABC CHILDREN BEHAVIOR LLC
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
33aNPI1831781715assigned 02/11/2021
33bProvider typeBehavioral Analyst
28Total paid$294K
24GClaims2,456
24DCodes billed3
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Florida
Rank by total paid#236 of 631
Median peer was paid$148K
This provider vs. median2.0×
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
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 | |
|---|---|---|---|
| 2022 | 176 | $25K | |
| 2023 | 1,009 | $122K | |
| 2024incomplete | 1,271 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 66% | 1,292 | 396 | $195K |
| 97156 | 31% | 1,126 | 460 | $92K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.6% | 38 | 12 | $8K |
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 officialGOMEZ FERNANDEZ, LISSETTE (PRESIDENT)