Carolina Center for Autism Services, LLC

Carolina Center for Autism Services, LLC was paid $40.98M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 75% of everything it billed.

33Billing provider infoCAROLINA CENTER FOR AUTISM SERVICES, LLC
DURHAM, NC 27713

33aNPI1912069303assigned 12/14/2006

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$40.98M

24GClaims148,539

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#11 of 856

Median peer was paid$908K

This provider vs. median45×

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
2018	8,252	$713K
2019	12,436	$2.28M
2020	15,827	$3.51M
2021	18,194	$4.94M
2022	18,856	$5.51M
2023	37,520	$11.12M
2024incomplete	37,454	$12.91M

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	75%	91,814	5,298	$30.77M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	18%	28,730	5,176	$7.43M
97151		2.2%	5,227	1,608	$901K
97156		1.6%	9,605	4,042	$665K
0365T		1.6%	4,784	426	$663K
0369T		<1%	1,454	441	$299K
0364T		<1%	4,937	440	$122K
0368T		<1%	1,492	447	$91K
0370T		<1%	252	176	$30K
97157		<1%	174	77	$7K
0361T		<1%	23	13	$5K
0360T		<1%	47	27	$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 officialGARCILAZO, XICOTENCAL (PRESIDENT & CFO)