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THE MAY INSTITUTE, INC

Behavior Analyst·RANDOLPH, MA·NPI: 1356318125Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $71.7M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$71.7M

$71,738,818

Total Claims

580K

Beneficiaries

44K

13.2 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$10.2M
-3%
2019
$9.9M
-21%
2020
$7.9M
+6%
2021
$8.3M
+18%
2022
$9.9M
+25%
2023
$12.4M
+7%
2024
$13.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 41% of total spending.

S5102Top 25%

Day care services, adult; per 15 min

$29.1M

194K claims · 40.5%

Your Cost: $149.50/claim|Median: $81.10
1.8× median
H2014Normal range

Skills training & development, per 15 min

$26.3M

234K claims · 36.6%

Your Cost: $112.07/claim|Median: $83.88
1.3× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$4.8M

29K claims · 6.7%

Your Cost: $168.55/claim|Median: $84.12
2.0× median
S5101Normal range

Day care services, adult, per half day

$3.3M

50K claims · 4.6%

Your Cost: $66.92/claim|Median: $66.43
1.0× median
T1019Normal range

Personal care services, per 15 min

$2.7M

42K claims · 3.8%

Your Cost: $65.52/claim|Median: $82.47
0.8× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.7M

12K claims · 3.8%

Your Cost: $231.95/claim|Median: $167.38
1.4× median
H0032Top 25%

Mental health service plan development

$998K

6,350 claims · 1.4%

Your Cost: $157.13/claim|Median: $80.64
1.9× median
H0031Normal range

Mental health assessment by non-physician

$910K

6,784 claims · 1.3%

Your Cost: $134.17/claim|Median: $96.18
1.4× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$500K

2,554 claims · 0.7%

Your Cost: $195.86/claim|Median: $146.45
1.3× median
97156Normal range

$155K

1,465 claims · 0.2%

Your Cost: $105.95/claim|Median: $88.65
1.2× median
H2012Normal range

Behavioral health day treatment, per hour

$147K

1,101 claims · 0.2%

Your Cost: $133.85/claim|Median: $137.86
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$132K

1,216 claims · 0.2%

Your Cost: $108.96/claim|Median: $96.24
1.1× median