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ABA PROGRAMMING INC.

Clinic/Center, Medical Specialty·INDIANAPOLIS, IN·NPI: 1770706160Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$54.7M

$54,670,529

Total Claims

188K

Beneficiaries

20K

9.4 claims/patient

Avg Cost/Claim

$291

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-25%
2019
$2.3M
+171%
2020
$6.1M
+89%
2021
$11.5M
+24%
2022
$14.3M
-26%
2023
$10.6M
-36%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 76% of total spending.

97153Top 5%

Adaptive behavior treatment by protocol, per 15 min

$41.3M

97K claims · 75.5%

Your Cost: $424.66/claim|Median: $167.38
2.5× median
97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$8.4M

33K claims · 15.4%

Your Cost: $254.16/claim|Median: $146.45
1.7× median
96152Top 5%

Health behavior intervention, individual

$3.2M

17K claims · 5.8%

Your Cost: $182.17/claim|Median: $20.02
9.1× median
97530Normal range

Therapeutic activities, each 15 min

$613K

13K claims · 1.1%

Your Cost: $47.06/claim|Median: $33.11
1.4× median
92507Normal range

Speech/hearing/language treatment

$351K

13K claims · 0.6%

Your Cost: $26.97/claim|Median: $49.45
0.5× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$295K

4,042 claims · 0.5%

Your Cost: $72.89/claim|Median: $55.95
1.3× median
97151Normal range

Behavior identification assessment

$272K

1,338 claims · 0.5%

Your Cost: $203.48/claim|Median: $161.10
1.3× median
92609Normal range

$107K

3,049 claims · 0.2%

Your Cost: $35.22/claim|Median: $59.78
0.6× median
97156Normal range

$106K

2,851 claims · 0.2%

Your Cost: $37.28/claim|Median: $88.65
0.4× median
92523Normal range

Evaluation of speech sound production with language comprehension

$11K

109 claims · 0.0%

Your Cost: $97.87/claim|Median: $110.87
0.9× median
96155Normal range

$6K

225 claims · 0.0%

Your Cost: $26.04/claim|Median: $34.72
0.8× median
96151Normal range

Health behavior reassessment

$5K

409 claims · 0.0%

Your Cost: $11.43/claim|Median: $15.43
0.7× median
97167Normal range

OT evaluation, high complexity

$3K

63 claims · 0.0%

Your Cost: $53.67/claim|Median: $70.96
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$941

31 claims · 0.0%

Your Cost: $30.36/claim|Median: $99.21
0.3× median
99072Normal range

$0

1,737 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
97535Normal range

Self-care/home management training, per 15 minutes

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18