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MATRIX BEHAVIOR SOLUTIONS, LLC

Behavior Analyst·EAST STROUDSBURG, PA·NPI: 1760977649Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.6M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2020-092024-12(52 months)

Total Paid

$75.6M

$75,611,413

Total Claims

343K

Beneficiaries

56K

6.1 claims/patient

Avg Cost/Claim

$221

Monthly Spending Trend

Yearly Spending

2020
$747K
+939%
2021
$7.8M
+115%
2022
$16.7M
+44%
2023
$24.0M
+10%
2024
$26.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 53% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$40.3M

160K claims · 53.3%

Your Cost: $252.24/claim|Median: $167.38
1.5× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$12.5M

53K claims · 16.5%

Your Cost: $236.57/claim|Median: $146.45
1.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$7.9M

47K claims · 10.5%

Your Cost: $169.09/claim|Median: $169.11
1.0× median
H0032Top 25%

Mental health service plan development

$6.4M

36K claims · 8.4%

Your Cost: $178.52/claim|Median: $80.64
2.2× median
97151Top 25%

Behavior identification assessment

$4.7M

19K claims · 6.2%

Your Cost: $249.22/claim|Median: $161.10
1.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2.0M

16K claims · 2.6%

Your Cost: $124.27/claim|Median: $84.12
1.5× median
97154Top 10%

Group adaptive behavior treatment, per 15 min

$1.2M

7,475 claims · 1.6%

Your Cost: $163.65/claim|Median: $55.95
2.9× median
H0046Normal range

Mental health services, not otherwise specified

$214K

1,721 claims · 0.3%

Your Cost: $124.24/claim|Median: $85.02
1.5× median
97158Normal range

$183K

1,474 claims · 0.2%

Your Cost: $124.20/claim|Median: $56.17
2.2× median
97156Top 5%

$120K

664 claims · 0.2%

Your Cost: $180.79/claim|Median: $88.65
2.0× median
H0031Normal range

Mental health assessment by non-physician

$116K

1,457 claims · 0.2%

Your Cost: $79.47/claim|Median: $96.18
0.8× median
97152Normal range

$5K

102 claims · 0.0%

Your Cost: $50.42/claim|Median: $155.16
0.3× median