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AUTISM LEARNING PARTNERS, LLC

Behavior Analyst·DOWNEY, CA·NPI: 1942537733Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $112.5M is at the 90th percentile among 31 Behavior Analyst providers.

Above 90th percentile for this specialty — higher spending than 27 of 31 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$112.5M

$112,480,728

Total Claims

917K

Beneficiaries

132K

6.9 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$11.2M
+14%
2019
$12.8M
+5%
2020
$13.4M
+36%
2021
$18.2M
-17%
2022
$15.0M
+26%
2023
$18.9M
+21%
2024
$23.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 57% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$63.7M

546K claims · 56.6%

Your Cost: $116.54/claim|Median: $84.12
1.4× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$24.8M

134K claims · 22.1%

Your Cost: $184.95/claim|Median: $167.38
1.1× median
H0032Normal range

Mental health service plan development

$9.4M

113K claims · 8.3%

Your Cost: $83.18/claim|Median: $80.64
1.0× median
H0031Normal range

Mental health assessment by non-physician

$4.6M

35K claims · 4.1%

Your Cost: $132.46/claim|Median: $96.18
1.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.9M

22K claims · 3.4%

Your Cost: $173.77/claim|Median: $146.45
1.2× median
H2012Normal range

Behavioral health day treatment, per hour

$1.7M

13K claims · 1.5%

Your Cost: $136.58/claim|Median: $137.86
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$1.6M

13K claims · 1.4%

Your Cost: $121.36/claim|Median: $85.02
1.4× median
S5110Normal range

Home care training, family; per 15 min

$1.2M

14K claims · 1.1%

Your Cost: $85.55/claim|Median: $74.36
1.2× median
S5111Normal range

Home care training, family member, per session

$602K

15K claims · 0.5%

Your Cost: $39.37/claim|Median: $87.13
0.5× median
97151Normal range

Behavior identification assessment

$425K

3,029 claims · 0.4%

Your Cost: $140.18/claim|Median: $161.10
0.9× median
H2014Normal range

Skills training & development, per 15 min

$372K

4,741 claims · 0.3%

Your Cost: $78.41/claim|Median: $83.88
0.9× median
97156Normal range

$129K

2,429 claims · 0.1%

Your Cost: $53.06/claim|Median: $88.65
0.6× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$36K

291 claims · 0.0%

Your Cost: $124.18/claim|Median: $106.05
1.2× median
0364TNormal range

$7K

291 claims · 0.0%

Your Cost: $22.35/claim|Median: $21.31
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

299 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63