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

North Shore Health Services

North Shore Health Services was paid $3.23M by Medicaid between Jan 2018 and Nov 2021, across 7 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 65% of everything it billed.

33Billing provider infoNORTH SHORE HEALTH SERVICES
ALLEGAN, MI 49010
33aNPI1851832901assigned 03/08/2017
33bProvider typeBehavioral Analyst
28Total paid$3.23M
24GClaims18,987
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Behavioral Analyst providers in Michigan

Rank by total paid#19 of 50
Median peer was paid$1.35M
This provider vs. median2.4×

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
20184,694$513K
20195,835$1.06M
20206,003$1.10M
20212,455$559K
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 65% 11,576 607 $2.10M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 19% 2,637 606 $608K
0365T 12% 2,170 123 $404K
0364T 1.6% 1,915 123 $50K
0369T 1.3% 305 73 $43K
0368T <1% 304 73 $16K
97156 <1% 80 49 $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 officialPETERS, RJ (PRESIDENT)