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ABA PATHWAYS, LLC

Behavior Analyst·ANN ARBOR, MI·NPI: 1770838468Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.5M is at the 75th percentile among 31 Behavior Analyst providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$31.5M

$31,544,479

Total Claims

276K

Beneficiaries

27K

10.1 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+5%
2019
$3.2M
-2%
2020
$3.1M
+44%
2021
$4.5M
+2%
2022
$4.6M
+44%
2023
$6.6M
-4%
2024
$6.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 59% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$18.6M

156K claims · 58.9%

Your Cost: $119.28/claim|Median: $167.38
0.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$6.5M

40K claims · 20.5%

Your Cost: $161.16/claim|Median: $146.45
1.1× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$2.0M

11K claims · 6.3%

Your Cost: $175.29/claim|Median: $106.05
1.7× median
92507Top 5%

Speech/hearing/language treatment

$952K

7,743 claims · 3.0%

Your Cost: $122.97/claim|Median: $49.45
2.5× median
97156Normal range

$893K

11K claims · 2.8%

Your Cost: $83.94/claim|Median: $88.65
0.9× median
97151Top 25%

Behavior identification assessment

$488K

1,711 claims · 1.5%

Your Cost: $285.27/claim|Median: $161.10
1.8× median
97530Normal range

Therapeutic activities, each 15 min

$485K

12K claims · 1.5%

Your Cost: $40.74/claim|Median: $33.11
1.2× median
0369TTop 25%

$389K

2,526 claims · 1.2%

Your Cost: $154.09/claim|Median: $102.36
1.5× median
97533Normal range

$369K

11K claims · 1.2%

Your Cost: $34.18/claim|Median: $48.71
0.7× median
0364TNormal range

$276K

10K claims · 0.9%

Your Cost: $26.89/claim|Median: $21.31
1.3× median
H0032Normal range

Mental health service plan development

$189K

1,514 claims · 0.6%

Your Cost: $124.97/claim|Median: $80.64
1.5× median
97535Normal range

Self-care/home management training, per 15 minutes

$174K

5,628 claims · 0.6%

Your Cost: $30.91/claim|Median: $18.18
1.7× median
0368TTop 25%

$159K

2,682 claims · 0.5%

Your Cost: $59.45/claim|Median: $44.63
1.3× median
0370TNormal range

$62K

532 claims · 0.2%

Your Cost: $116.99/claim|Median: $88.49
1.3× median
0359TNormal range

$59K

125 claims · 0.2%

Your Cost: $468.49/claim|Median: $444.44
1.1× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$37K

2,736 claims · 0.1%

Your Cost: $13.53/claim|Median: $21.33
0.6× median
S5111Normal range

Home care training, family member, per session

$2K

17 claims · 0.0%

Your Cost: $120.00/claim|Median: $87.13
1.4× median

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