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

PIECE BY PIECE AUTISM CENTER

Community/Behavioral Health·LEBANON, IN·NPI: 1275032096Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2019-072024-08(60 months)

Total Paid

$47.8M

$47,757,816

Total Claims

43K

Beneficiaries

3,885

11.0 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2019
$955K
+248%
2020
$3.3M
+133%
2021
$7.7M
+54%
2022
$11.9M
+95%
2023
$23.3M
-98%
2024
$526K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 88% of total spending.

97153Top 1%

Adaptive behavior treatment by protocol, per 15 min

$41.8M

32K claims · 87.6%

Your Cost: $1,311.19/claim|Median: $167.38
7.8× median
97155Top 1%

Adaptive behavior treatment with protocol modification, per 15 minutes

$5.6M

10K claims · 11.6%

Your Cost: $542.07/claim|Median: $146.45
3.7× median
97151Top 1%

Behavior identification assessment

$262K

253 claims · 0.5%

Your Cost: $1,036.24/claim|Median: $161.10
6.4× median
97156Top 1%

$90K

298 claims · 0.2%

Your Cost: $302.99/claim|Median: $88.65
3.4× median