Autism Management Group

Autism Management Group was paid $3.74M by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 88% of everything it billed.

33Billing provider infoAUTISM MANAGEMENT GROUP
LAVALETTE, WV 25535

33aNPI1912280405assigned 09/21/2011

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$3.74M

24GClaims5,249

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Community/Behavioral Health Agency providers in West Virginia

Rank by total paid#33 of 93

Median peer was paid$1.97M

This provider vs. median1.9×

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	2,551	$1.67M
2019	2,288	$1.70M
2020	410	$363K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	88%	2,273	375	$3.29M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	8.9%	1,541	324	$333K
T1016	Case management, each 15 minutes	2.1%	1,132	377	$79K
A0160	Non-emergency transportation: per mile - case worker or social worker	<1%	127	113	$24K
T1002	Rn services, up to 15 minutes	<1%	176	49	$14K

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 officialPHILLIPS, TYRONE (OWNER)