Autism and Beyond, LLC

Autism and Beyond, LLC was paid $501K by Medicaid between Jan 2018 and Nov 2021, across 8 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 64% of everything it billed.

33Billing provider infoAUTISM AND BEYOND, LLC
NORTH CHARLESTON, SC 29418

33aNPI1922533603assigned 05/01/2017

33bProvider typeAssistant Behavior Analyst

28Total paid$501K

24GClaims6,959

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Assistant Behavior Analyst providers in South Carolina

Rank by total paid#1 of 6

Median peer was paid$213K

This provider vs. median2.3×

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	2,719	$115K
2019	1,600	$91K
2020	1,178	$125K
2021	1,462	$170K

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	64%	2,947	260	$320K
0365T		21%	1,597	164	$105K
0364T		4.0%	1,616	165	$20K
0361T		3.9%	247	42	$20K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	3.0%	98	63	$15K
0369T		2.7%	102	38	$14K
0360T		<1%	254	42	$5K
0368T		<1%	98	38	$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 officialSAULPAUGH, KELLY (DIRECTOR)