To the Moon PLLC

To the Moon PLLC was paid $1.21M by Medicaid between Mar 2023 and Nov 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 98% of everything it billed.

33Billing provider infoTO THE MOON PLLC
RICHMOND, VA 23238

33aNPI1861149510assigned 03/02/2022

33bProvider typeDevelopmental Disabilities Clinic/Center

28Total paid$1.21M

24GClaims5,521

24DCodes billed3

24AFirst – last monthMar 2023 – Nov 2024

Compared with peers

Next to other Developmental Disabilities Clinic/Center providers in Virginia

Rank by total paid#6 of 9

Median peer was paid$1.60M

This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.

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	2,255	$478K
2024incomplete	3,266	$729K

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	98%	5,372	389	$1.18M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	1.6%	98	40	$20K
97156		<1%	51	27	$6K

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 officialKHIMANI, LIZNA (BCBA)