Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

97155Medicine

Adaptive behavior treatment modification, 15 min

Total Paid

$1.44B

$1,441,434,242

Beneficiaries

2.0M

1,954,675

Avg $/Claim

$153

Median: $191

Utilization

4.8 claims/bene

2,549 providers

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1053641498

CENTRIA HEALTHCARE LLC

MI$76.3M$201vs $191 med1.05x380,69791,972
2
1053821728

ABS UTAH, P.C.

UT$30.0M$189vs $191 med0.99x158,56222,225
3
1043622780

GATEWAY PEDIATRIC THERAPY LLC

MI$26.0M$173vs $191 med0.91x150,46829,034
4
1518190669

BEHAVIOR INTERVENTIONS, INC

PA$19.1M$232vs $191 med1.22x82,18320,483
5
1801954474

ERIC LUND

WI$17.1M$120vs $191 med0.63x143,06026,450
6
1942576905

VAV OPERATIONS LLC

IN$16.6M$119vs $191 med0.62x139,64016,524
7
1407932775

COMPREHAB LLC

NC$15.6M$163vs $191 med0.86x95,26017,083
8
1225791346

BRETT DINOVI & ASSOCIATES PA LLC

PA$13.9M$361vs $191 med1.89x38,4437,616
9
1558841163

ACORN HEALTH OF MICHIGAN, LLC

MI$13.5M$135vs $191 med0.71x100,29116,361
10
1144682873

MOSAIC GROUP, LLC

NC$13.3M$189vs $191 med0.99x70,5539,589
11
1760977649

MATRIX BEHAVIOR SOLUTIONS, LLC

PA$12.5M$237vs $191 med1.24x52,78215,820
12
1285992743

COMPASS YOUTH SERVICES

VA$12.3M$282vs $191 med1.48x43,7727,912
13
1609135748

CHITTER CHATTER P.C.

MI$12.1M$230vs $191 med1.21x52,70811,159
14
1255706628

POSITIVE BEHAVIOR SUPPORTS

MI$11.9M$231vs $191 med1.21x51,30613,383
15
1649506940

COMPASS COUNSELING SERVICES OF NORTHERN VIRGINIA

VA$11.0M$255vs $191 med1.34x43,0997,854
16
1194212282

BRIGHT BEGINNINGS THERAPEUTIC SERVICES, LLC

PA$10.8M$247vs $191 med1.30x43,49213,127
17
1962765693

ALTERNATIVE BEHAVIOR STRATEGIES, LLC

CA$10.5M$133vs $191 med0.70x78,94818,547
18
1366047474

HIGHLIGHTS HEALTHCARE, LLC

NC$9.2M$223vs $191 med1.17x41,1375,875
19
1619255841

EASTER SEALS SOUTHERN CALIFORNIA, INC

CA$9.1M$111vs $191 med0.58x82,46135,842
20
1609194000

AUTISM SPECTRUM THERAPIES, LLC

CA$8.5M$190vs $191 med1.00x44,83013,568
21
1770706160

ABA PROGRAMMING INC.

IN$8.4M$254vs $191 med1.33x33,2094,661
22
1043822208

PATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC

PA$8.3M$154vs $191 med0.80x53,78914,360
23
1194186148

MAURA STACK ODEN LLC

CO$8.0M$400vs $191 med2.10x19,9105,234
24
1700024296

POSITIVE BEHAVIOR SUPPORTS

FL$7.8M$194vs $191 med1.02x40,22712,083
25
1932539582

ELIZABETH OSTENDORF LLC

CO$7.7M$218vs $191 med1.14x35,2095,618

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1MI$286.1M$1801,587,848314,804129
2PA$209.0M$2001,043,217289,838151
3NC$119.3M$192620,023102,95684
4FL$92.6M$140661,466212,333633
5IN$87.1M$149583,27089,09184
6VA$86.0M$260330,98762,00088
7NY$79.2M$108736,74366,34990
8CO$71.8M$203352,82787,025157
9CA$66.3M$147451,819127,77483
10WI$62.2M$124501,95383,310107
11UT$47.9M$138347,25964,28029
12MN$36.7M$66556,072102,28151
13MO$32.1M$144222,55447,00270
14MA$29.2M$208140,42342,629137
15LA$19.4M$53368,14140,30461
16NJ$18.5M$159116,13128,19061
17OH$12.1M$115104,80421,01638
18MD$11.5M$18064,22517,66737
19TX$8.3M$9785,28318,48932
20OK$6.4M$17137,2135,66013
21KY$6.3M$12650,03513,37629
22WA$5.4M$8265,74218,87737
23AZ$4.2M$6861,45316,77646
24TN$4.1M$11635,70410,07846
25NV$4.0M$16424,0647,14646

50 rows · Page 1 of 2