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Abs Utah P.c.

Community/Behavioral Health·Salt Lake City, UT·NPI: 1053821728Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $197.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-022024-12(64 months)

Total Paid

$197.2M

$197,189,860

Total Claims

654K

Beneficiaries

76K

8.6 claims/patient

Avg Cost/Claim

$301

#469 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Abs Utah P.c. is a Community/Behavioral Health provider based in Salt Lake City, UT. From the 2018–2024 period, this provider received $197.2M in Medicaid payments across 654K claims.

Why This Matters

This provider received $197.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 24,648 Medicaid beneficiaries for a full year at average per-enrollee costs.

2702412% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$2K
+149%
2019
$6K
+160627%
2020
$9.3M
+174%
2021
$25.6M
+46%
2022
$37.3M
+66%
2023
$62.0M
+2%
2024
$63.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 81% of total spending.

97153Top 10%

Adaptive behavior treatment by protocol, per 15 min

$160.5M

443K claims · 81.4%

Your Cost: $362.17/claim|Median: $167.38
2.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$30.0M

159K claims · 15.2%

Your Cost: $189.30/claim|Median: $146.45
1.3× median
97151Normal range

Behavior identification assessment

$3.0M

14K claims · 1.5%

Your Cost: $208.06/claim|Median: $161.10
1.3× median
97156Normal range

$1.4M

22K claims · 0.7%

Your Cost: $62.17/claim|Median: $88.65
0.7× median
97152Top 25%

$1.2M

5K claims · 0.6%

Your Cost: $250.53/claim|Median: $155.16
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$327K

3K claims · 0.2%

Your Cost: $116.09/claim|Median: $99.21
1.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$244K

3K claims · 0.1%

Your Cost: $96.24/claim|Median: $79.21
1.2× median
96131Normal range

Psychological testing evaluation, each additional hour

$175K

2K claims · 0.1%

Your Cost: $113.96/claim|Median: $133.38
0.8× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$161K

2K claims · 0.1%

Your Cost: $93.49/claim|Median: $92.96
1.0× median
96113Top 25%

Developmental test admin, each additional 30 min

$91K

424 claims · 0.0%

Your Cost: $215.02/claim|Median: $77.06
2.8× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$78K

2K claims · 0.0%

Your Cost: $44.05/claim|Median: $30.49
1.4× median
96112Normal range

Developmental test administration

$57K

490 claims · 0.0%

Your Cost: $115.46/claim|Median: $102.95
1.1× median
97155GTNormal range

$6K

36 claims · 0.0%

Your Cost: $175.93/claim|Median: $205.53
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2K

118 claims · 0.0%

Your Cost: $13.27/claim|Median: $121.16
0.1× median
92507Normal range

Speech/hearing/language treatment

$765

27 claims · 0.0%

Your Cost: $28.32/claim|Median: $49.45
0.6× median