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ACES 2020, LLC

Behavior Analyst·SAN DIEGO, CA·NPI: 1467520452Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.3M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$49.3M

$49,276,178

Total Claims

334K

Beneficiaries

57K

5.8 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+81%
2019
$4.5M
+42%
2020
$6.4M
+52%
2021
$9.8M
-18%
2022
$8.1M
+1%
2023
$8.2M
+21%
2024
$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 67% of total spending.

H2019Top 25%

Therapeutic behavioral services, per 15 min

$32.8M

199K claims · 66.6%

Your Cost: $164.69/claim|Median: $84.12
2.0× median
H0031Normal range

Mental health assessment by non-physician

$4.5M

34K claims · 9.1%

Your Cost: $130.91/claim|Median: $96.18
1.4× median
H2012Normal range

Behavioral health day treatment, per hour

$2.5M

14K claims · 5.1%

Your Cost: $181.11/claim|Median: $137.86
1.3× median
S5111Normal range

Home care training, family member, per session

$2.4M

25K claims · 4.8%

Your Cost: $93.09/claim|Median: $87.13
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$2.0M

15K claims · 4.1%

Your Cost: $137.19/claim|Median: $85.02
1.6× median
S5108Normal range

Home care training to home care client, per 15 minutes

$1.6M

14K claims · 3.3%

Your Cost: $115.94/claim|Median: $107.36
1.1× median
H0032Normal range

Mental health service plan development

$1.4M

18K claims · 2.9%

Your Cost: $81.75/claim|Median: $80.64
1.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.3M

8,441 claims · 2.6%

Your Cost: $150.05/claim|Median: $167.38
0.9× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$457K

2,632 claims · 0.9%

Your Cost: $173.75/claim|Median: $146.45
1.2× median
96156Top 25%

$126K

1,610 claims · 0.3%

Your Cost: $78.28/claim|Median: $22.36
3.5× median
96152Top 25%

Health behavior intervention, individual

$74K

824 claims · 0.2%

Your Cost: $89.82/claim|Median: $20.02
4.5× median
97156Normal range

$43K

450 claims · 0.1%

Your Cost: $95.42/claim|Median: $88.65
1.1× median
96158Top 10%

$33K

486 claims · 0.1%

Your Cost: $68.23/claim|Median: $28.43
2.4× median
96159Top 25%

$21K

314 claims · 0.0%

Your Cost: $67.84/claim|Median: $20.68
3.3× median
S5110Normal range

Home care training, family; per 15 min

$10K

95 claims · 0.0%

Your Cost: $100.73/claim|Median: $74.36
1.4× median
97151Normal range

Behavior identification assessment

$1K

12 claims · 0.0%

Your Cost: $87.33/claim|Median: $161.10
0.5× median