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NPI 1972635761
NPI deactivated
1972635761
1972635761 was paid $7.90M by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 39% of everything it billed.
33Billing provider info1972635761
33aNPI1972635761
33bProvider type—
28Total paid$7.90M
24GClaims54,630
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
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 | 19,076 | $2.25M | |
| 2019 | 8,221 | $1.49M | |
| 2020 | 4,065 | $736K | |
| 2021 | 6,293 | $1.15M | |
| 2022 | 9,797 | $1.58M | |
| 2023 | 6,928 | $658K | |
| 2024incomplete | 250 | $30K |
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 | 39% | 15,626 | 657 | $3.08M |
| H2021 | Community-based wrap-around services, per 15 minutes | 19% | 4,916 | 2,262 | $1.48M |
| 0365T | 14% | 4,364 | 232 | $1.08M | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 7.9% | 7,317 | 597 | $621K |
| S5111 | Home care training, family; per session | 5.9% | 5,821 | 2,239 | $469K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.8% | 5,038 | 2,084 | $457K |
| 0369T | 2.8% | 2,988 | 235 | $223K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 1,718 | 880 | $199K |
| 0368T | 1.9% | 2,813 | 236 | $150K | |
| 0364T | 1.3% | 3,729 | 231 | $100K | |
| H0045 | Respite care services, not in the home, per diem | <1% | 17 | 15 | $15K |
| 97156 | <1% | 140 | 63 | $13K |
3 more codes
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.