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Abc Behavior Therapy Llc

Behavior Analyst·Cordova, TN·NPI: 1265908552SharePrint ReportML Risk: 85%

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $1.5M is at the 50th percentile among 31 Behavior Analyst providers.

Total Paid

$1.5M

$1,514,988

Total Claims

13K

Beneficiaries

1,943

6.8 claims/patient

Avg Cost/Claim

$115

🔍 Analysis

Provider Overview

Abc Behavior Therapy Llc is a Behavior Analyst provider based in Cordova, TN. From the 2018–2024 period, this provider received $1.5M in Medicaid payments across 13K claims serving 2K beneficiaries.

Why This Matters

This provider received $1.5M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.

476% growthsince first billing year

Yearly Spending

2022
$119K
+493%
2023
$708K
-3%
2024
$688K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 63% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$959K

5,005 claims · 63.3%

Your Cost: $191.59/claim|Median: $167.38
1.1× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$296K

3,064 claims · 19.5%

Your Cost: $96.60/claim|Median: $55.95
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$135K

1,842 claims · 8.9%

Your Cost: $73.27/claim|Median: $146.45
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$119K

3,224 claims · 7.9%

Your Cost: $37.02/claim|Median: $84.12
0.4× median
97152Normal range

$5K

61 claims · 0.3%

Your Cost: $82.55/claim|Median: $155.16
0.5× median
97156Normal range

$768

12 claims · 0.1%

Your Cost: $64.00/claim|Median: $88.65
0.7× median