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

AUTISM SPECTRUM THERAPIES, LLC

Behavior Analyst·BURBANK, CA·NPI: 1609194000Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $81.6M is at the 90th percentile among 31 Behavior Analyst providers.

Above 90th percentile for this specialty — higher spending than 27 of 31 peers

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

Total Paid

$81.6M

$81,574,491

Total Claims

555K

Beneficiaries

84K

6.6 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+43%
2019
$6.6M
-0%
2020
$6.6M
+27%
2021
$8.3M
+35%
2022
$11.3M
+88%
2023
$21.2M
+8%
2024
$22.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 51% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$41.4M

228K claims · 50.8%

Your Cost: $181.65/claim|Median: $167.38
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$19.6M

158K claims · 24.0%

Your Cost: $123.77/claim|Median: $84.12
1.5× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$8.5M

45K claims · 10.5%

Your Cost: $190.47/claim|Median: $146.45
1.3× median
H0031Normal range

Mental health assessment by non-physician

$3.6M

27K claims · 4.4%

Your Cost: $133.45/claim|Median: $96.18
1.4× median
H0032Normal range

Mental health service plan development

$2.3M

19K claims · 2.9%

Your Cost: $120.65/claim|Median: $80.64
1.5× median
97151Top 25%

Behavior identification assessment

$1.1M

4,368 claims · 1.3%

Your Cost: $240.44/claim|Median: $161.10
1.5× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$1.0M

6,563 claims · 1.2%

Your Cost: $155.20/claim|Median: $106.05
1.5× median
97156Normal range

$801K

10K claims · 1.0%

Your Cost: $76.85/claim|Median: $88.65
0.9× median
T1026Normal range

Waiver services, NOS, per diem

$742K

3,524 claims · 0.9%

Your Cost: $210.48/claim|Median: $146.05
1.4× median
97154Top 25%

Group adaptive behavior treatment, per 15 min

$652K

4,714 claims · 0.8%

Your Cost: $138.36/claim|Median: $55.95
2.5× median
S5110Normal range

Home care training, family; per 15 min

$425K

17K claims · 0.5%

Your Cost: $24.50/claim|Median: $74.36
0.3× median
S5111Normal range

Home care training, family member, per session

$338K

3,601 claims · 0.4%

Your Cost: $93.90/claim|Median: $87.13
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$319K

3,427 claims · 0.4%

Your Cost: $93.22/claim|Median: $85.02
1.1× median
H2014Normal range

Skills training & development, per 15 min

$187K

3,426 claims · 0.2%

Your Cost: $54.55/claim|Median: $83.88
0.7× median
92507Normal range

Speech/hearing/language treatment

$160K

5,320 claims · 0.2%

Your Cost: $30.02/claim|Median: $49.45
0.6× median
0364TNormal range

$123K

6,518 claims · 0.2%

Your Cost: $18.84/claim|Median: $21.31
0.9× median
0369TNormal range

$109K

1,605 claims · 0.1%

Your Cost: $67.88/claim|Median: $102.36
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$70K

2,855 claims · 0.1%

Your Cost: $24.39/claim|Median: $33.11
0.7× median
0368TNormal range

$43K

1,748 claims · 0.1%

Your Cost: $24.62/claim|Median: $44.63
0.6× median
97535Normal range

Self-care/home management training, per 15 minutes

$42K

2,139 claims · 0.1%

Your Cost: $19.78/claim|Median: $18.18
1.1× median
G0176Normal range

Activity therapy (group), per session

$39K

461 claims · 0.0%

Your Cost: $83.75/claim|Median: $85.09
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$3K

30 claims · 0.0%

Your Cost: $112.85/claim|Median: $137.86
0.8× median