Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Aba Plus Inc.

Behavior Analyst·San Ramon, CA·NPI: 1053974766SharePrint ReportML Risk: 83%

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $1.3M is at the 50th percentile among 31 Behavior Analyst providers.

Total Paid

$1.3M

$1,284,610

Total Claims

10K

Beneficiaries

1,309

7.8 claims/patient

Avg Cost/Claim

$126

🔍 Analysis

Provider Overview

Aba Plus Inc. is a Behavior Analyst provider based in San Ramon, CA. From the 2018–2024 period, this provider received $1.3M in Medicaid payments across 10K claims serving 1K beneficiaries.

Why This Matters

This provider received $1.3M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.

85% growthsince first billing year

Yearly Spending

2019
$143K
+331%
2020
$616K
-18%
2021
$504K
-96%
2022
$21K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 80% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$1.0M

7,925 claims · 80.0%

Your Cost: $129.65/claim|Median: $84.12
1.5× median
H2012Normal range

Behavioral health day treatment, per hour

$168K

1,477 claims · 13.1%

Your Cost: $113.64/claim|Median: $137.86
0.8× median
H0046Normal range

Mental health services, not otherwise specified

$50K

479 claims · 3.9%

Your Cost: $104.35/claim|Median: $85.02
1.2× median
H0032Top 25%

Mental health service plan development

$31K

176 claims · 2.4%

Your Cost: $173.68/claim|Median: $80.64
2.2× median
S5111Normal range

Home care training, family member, per session

$5K

96 claims · 0.4%

Your Cost: $52.03/claim|Median: $87.13
0.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$4K

44 claims · 0.3%

Your Cost: $84.18/claim|Median: $169.11
0.5× median