Agency
Colorado Autism Consultants, LLC
Colorado Autism Consultants, LLC was paid $11.77M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 57% of everything it billed.
33Billing provider infoCOLORADO AUTISM CONSULTANTS, LLC
AURORA, CO 80014
AURORA, CO 80014
33aNPI1922393073assigned 06/16/2011
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$11.77M
24GClaims7,563
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Colorado
Rank by total paid#9 of 165
Median peer was paid$289K
This provider vs. median41×
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 | 504 | $801K | |
| 2019 | 614 | $1.22M | |
| 2020 | 764 | $1.15M | |
| 2021 | 1,073 | $1.47M | |
| 2022 | 1,366 | $1.80M | |
| 2023 | 1,821 | $2.49M | |
| 2024incomplete | 1,421 | $2.86M |
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 | 57% | 4,338 | 3,479 | $6.72M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 36% | 2,413 | 1,921 | $4.20M |
| H0046 | Mental health services, not otherwise specified | 5.6% | 338 | 323 | $656K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.2% | 140 | 106 | $138K |
| 97151 | <1% | 308 | 260 | $58K | |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 26 | 26 | $8K |
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 officialKOENIG, ABIGAIL (OWNER/BEHAVIORAL CONSULTANT)