Behavioral
First Coast Autism LLC
First Coast Autism LLC was paid $34K by Medicaid between Aug 2023 and Nov 2024, across 2 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 90% of everything it billed.
33Billing provider infoFIRST COAST AUTISM LLC
PALM COAST, FL 32137
PALM COAST, FL 32137
33aNPI1861821084assigned 11/07/2013
33bProvider typeAssistant Behavior Analyst
28Total paid$34K
24GClaims304
24DCodes billed2
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Assistant Behavior Analyst providers in Florida
Rank by total paid#28 of 37
Median peer was paid$163K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 36 | $5K | |
| 2024incomplete | 268 | $29K |
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 | 90% | 249 | 110 | $30K |
| 97156 | 9.7% | 55 | 53 | $3K |
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 officialCALABRESE, DAVID (BEHAVIOR ANALYST/PRESIDENT)