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KEY AUTISM SERVICES NC, LLC

Community/Behavioral Health·RALEIGH, NC·NPI: 1770138265Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.2M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2021-032024-12(46 months)

Total Paid

$28.2M

$28,212,403

Total Claims

108K

Beneficiaries

13K

8.5 claims/patient

Avg Cost/Claim

$260

Monthly Spending Trend

Yearly Spending

2021
$890K
+445%
2022
$4.8M
+143%
2023
$11.8M
-10%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 73% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$20.5M

68K claims · 72.6%

Your Cost: $303.48/claim|Median: $167.38
1.8× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$5.9M

27K claims · 21.0%

Your Cost: $222.87/claim|Median: $146.45
1.5× median
97151Normal range

Behavior identification assessment

$770K

4,380 claims · 2.7%

Your Cost: $175.80/claim|Median: $161.10
1.1× median
97156Normal range

$725K

9,144 claims · 2.6%

Your Cost: $79.25/claim|Median: $88.65
0.9× median
97152Top 10%

$298K

826 claims · 1.1%

Your Cost: $360.47/claim|Median: $155.16
2.3× median