Is TEACHING AUTISTIC CHILDREN, INC flagged for Medicaid fraud?

TEACHING AUTISTIC CHILDREN, INC (NPI: 1104051077) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does TEACHING AUTISTIC CHILDREN, INC bill Medicaid?

TEACHING AUTISTIC CHILDREN, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Behavior Analyst provider. Located in CITRUS HEIGHTS, CA.

What is NPI 1104051077?

NPI 1104051077 is the National Provider Identifier for TEACHING AUTISTIC CHILDREN, INC. They are a Behavior Analyst provider based in CITRUS HEIGHTS, CA. This NPI is registered with the CMS NPI Registry.

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TEACHING AUTISTIC CHILDREN, INC

Behavior Analyst·CITRUS HEIGHTS, CA·NPI: 1104051077Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.5M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$46.5M

$46,476,577

Total Claims

336K

Beneficiaries

63K

5.3 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018

$6.9M

+10%

2019

$7.5M

+6%

2020

$8.0M

+1%

2021

$8.0M

-22%

2022

$6.3M

-18%

2023

$5.2M

-12%

2024

$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 60% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2019Therapeutic behavioral services, per 15 minSee all providers →

$27.9M

185K claims

$150.94

$84.12

1.8×

Top 25%

H2019Top 25%

Therapeutic behavioral services, per 15 min

$27.9M

185K claims · 60.1%

Your Cost: $150.94/claim|Median: $84.12

1.8× median

H2012Behavioral health day treatment, per hourSee all providers →

$9.1M

58K claims

$156.10

$137.86

1.1×

Normal range

H2012Normal range

Behavioral health day treatment, per hour

$9.1M

58K claims · 19.6%

Your Cost: $156.10/claim|Median: $137.86

1.1× median

H0032Mental health service plan developmentSee all providers →

$4.4M

50K claims

$88.17

$80.64

1.1×

Normal range

H0032Normal range

Mental health service plan development

$4.4M

50K claims · 9.5%

Your Cost: $88.17/claim|Median: $80.64

1.1× median

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$2.5M

15K claims

$166.11

$167.38

1.0×

Normal range

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.5M

15K claims · 5.3%

Your Cost: $166.11/claim|Median: $167.38

1.0× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$1.2M

7,677 claims

$158.84

$146.45

1.1×

Normal range

97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.2M

7,677 claims · 2.6%

Your Cost: $158.84/claim|Median: $146.45

1.1× median

S5111Home care training, family member, per sessionSee all providers →

$718K

13K claims

$54.00

$87.13

0.6×

Normal range

S5111Normal range

Home care training, family member, per session

$718K

13K claims · 1.5%

Your Cost: $54.00/claim|Median: $87.13

0.6× median

H0046Mental health services, not otherwise specifiedSee all providers →

$408K

3,783 claims

$107.97

$85.02

1.3×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$408K

3,783 claims · 0.9%

Your Cost: $107.97/claim|Median: $85.02

1.3× median

97156 See all providers →

$182K

1,672 claims

$108.67

$88.65

1.2×

Normal range

97156Normal range

$182K

1,672 claims · 0.4%

Your Cost: $108.67/claim|Median: $88.65

1.2× median

H0031Mental health assessment by non-physicianSee all providers →

$28K

196 claims

$142.65

$96.18

1.5×

Normal range

H0031Normal range

Mental health assessment by non-physician

$28K

196 claims · 0.1%

Your Cost: $142.65/claim|Median: $96.18

1.5× median

97151Behavior identification assessmentSee all providers →

$3K

21 claims

$132.38

$161.10

0.8×

Normal range

97151Normal range

Behavior identification assessment

$3K

21 claims · 0.0%

Your Cost: $132.38/claim|Median: $161.10

0.8× median

0360T See all providers →

80 claims

$0.00

$46.02

—

Normal range

0360TNormal range

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.02

H2014Skills training & development, per 15 minSee all providers →

84 claims

$0.00

$83.88

—

Normal range

H2014Normal range

Skills training & development, per 15 min

84 claims · 0.0%

Your Cost: $0.00/claim|Median: $83.88

0366T See all providers →

515 claims

$0.00

$10.37

—

Normal range

0366TNormal range

515 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.37

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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