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CENTER FOR AUTISM AND RELATED DISORDERS LLC

Behavior Analyst·PLANO, TX·NPI: 1669651675Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $72.9M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-01→2023-08(68 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$72.9M

$72,922,152

Total Claims

765K

Beneficiaries

84K

9.1 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$14.1M
+51%
2019
$21.3M
-21%
2020
$16.9M
-25%
2021
$12.7M
-56%
2022
$5.6M
-59%
2023
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 47% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$34.0M

267K claims · 46.7%

Your Cost: $127.63/claim|Median: $167.38
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$18.8M

211K claims · 25.8%

Your Cost: $89.34/claim|Median: $84.12
1.1× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$6.9M

54K claims · 9.5%

Your Cost: $128.02/claim|Median: $106.05
1.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$4.6M

53K claims · 6.3%

Your Cost: $86.51/claim|Median: $146.45
0.6× median
H0032Normal range

Mental health service plan development

$2.4M

67K claims · 3.3%

Your Cost: $36.14/claim|Median: $80.64
0.4× median
H0046Normal range

Mental health services, not otherwise specified

$1.9M

19K claims · 2.6%

Your Cost: $99.02/claim|Median: $85.02
1.2× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$927K

3,780 claims · 1.3%

Your Cost: $245.33/claim|Median: $227.82
1.1× median
0364TNormal range

$882K

53K claims · 1.2%

Your Cost: $16.75/claim|Median: $21.31
0.8× median
97151Normal range

Behavior identification assessment

$684K

4,447 claims · 0.9%

Your Cost: $153.72/claim|Median: $161.10
1.0× median
97156Normal range

$457K

6,319 claims · 0.6%

Your Cost: $72.30/claim|Median: $88.65
0.8× median
H2012Normal range

Behavioral health day treatment, per hour

$341K

2,362 claims · 0.5%

Your Cost: $144.39/claim|Median: $137.86
1.0× median
0369TNormal range

$302K

5,022 claims · 0.4%

Your Cost: $60.19/claim|Median: $102.36
0.6× median
H0031Normal range

Mental health assessment by non-physician

$181K

1,984 claims · 0.2%

Your Cost: $91.43/claim|Median: $96.18
1.0× median
0368TNormal range

$160K

5,305 claims · 0.2%

Your Cost: $30.15/claim|Median: $44.63
0.7× median
S5111Normal range

Home care training, family member, per session

$116K

10K claims · 0.2%

Your Cost: $11.59/claim|Median: $87.13
0.1× median
S5110Normal range

Home care training, family; per 15 min

$106K

1,526 claims · 0.1%

Your Cost: $69.78/claim|Median: $74.36
0.9× median
T1026Normal range

Waiver services, NOS, per diem

$32K

250 claims · 0.0%

Your Cost: $128.89/claim|Median: $146.05
0.9× median
0370TNormal range

$27K

452 claims · 0.0%

Your Cost: $59.13/claim|Median: $88.49
0.7× median
0359TNormal range

$1K

26 claims · 0.0%

Your Cost: $53.85/claim|Median: $444.44
0.1× median

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