Behavioral
ST. Gerard House
ST. Gerard House was paid $8.53M by Medicaid between Nov 2019 and Nov 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.
33Billing provider infoST. GERARD HOUSE
HENDERSONVILLE, NC 28791
HENDERSONVILLE, NC 28791
33aNPI1962813634assigned 05/15/2014
33bProvider typeBehavioral Analyst
28Total paid$8.53M
24GClaims28,061
24DCodes billed3
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in North Carolina
Rank by total paid#8 of 40
Median peer was paid$2.28M
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 478 | $105K | |
| 2020 | 4,203 | $910K | |
| 2021 | 3,842 | $1.07M | |
| 2022 | 4,009 | $1.41M | |
| 2023 | 7,598 | $2.34M | |
| 2024incomplete | 7,931 | $2.70M |
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 | 84% | 19,501 | 1,007 | $7.20M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 12% | 5,815 | 1,063 | $1.04M |
| 97156 | 3.4% | 2,745 | 924 | $287K |
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 officialLONG, CAROLINE (EXECUTIVE DIRECTOR)