Center for Pediatric Behavioral Health

Center for Pediatric Behavioral Health was paid $1.14M by Medicaid between Dec 2021 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 73% of everything it billed.

33Billing provider infoCENTER FOR PEDIATRIC BEHAVIORAL HEALTH
WILMINGTON, NC 28403

33aNPI1871962415assigned 09/24/2015

33bProvider typeBehavioral Analyst

28Total paid$1.14M

24GClaims5,108

24DCodes billed4

24AFirst – last monthDec 2021 – Dec 2024

Compared with peers

Next to other Behavioral Analyst providers in North Carolina

Rank by total paid#27 of 40

Median peer was paid$2.28M

This provider vs. median0.5×

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
2021	36	$2K
2022	121	$8K
2023	768	$51K
2024incomplete	4,183	$1.07M

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	73%	2,221	151	$834K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	14%	881	118	$160K
90847	Family psychotherapy with the patient present, 50 minutes	12%	1,897	422	$132K
97156		<1%	109	38	$9K

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 officialBACHMEYER-LEE, MELANIE (PRESIDENT/CEO & PSYCHOLOGIST)