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Hopebridge, LLC

Assistant Behavior Analyst·Kokomo, IN·NPI: 1891820668Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$140.4M

$140,377,799

Total Claims

881K

Beneficiaries

145K

6.1 claims/patient

Avg Cost/Claim

$159

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

🔍 Analysis

Provider Overview

Hopebridge, LLC is a Assistant Behavior Analyst provider based in Kokomo, IN. From the 2018–2024 period, this provider received $140.4M in Medicaid payments across 881K claims.

Why This Matters

This provider received $140.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,547 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 46% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.5M
+19%
2019
$24.5M
-35%
2020
$16.0M
+77%
2021
$28.3M
-22%
2022
$22.0M
-18%
2023
$18.0M
-38%
2024
$11.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 62% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$86.7M

274K claims · 61.8%

Your Cost: $316.66/claim|Median: $167.38
1.9× median
96152Top 5%

Health behavior intervention, individual

$19.6M

81K claims · 14.0%

Your Cost: $243.18/claim|Median: $20.02
12.2× median
97530Top 25%

Therapeutic activities, each 15 min

$11.3M

163K claims · 8.1%

Your Cost: $69.25/claim|Median: $33.11
2.1× median
92507Normal range

Speech/hearing/language treatment

$10.1M

202K claims · 7.2%

Your Cost: $49.73/claim|Median: $49.45
1.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$6.2M

52K claims · 4.4%

Your Cost: $120.76/claim|Median: $146.45
0.8× median
96151Top 5%

Health behavior reassessment

$2.6M

25K claims · 1.8%

Your Cost: $104.46/claim|Median: $15.43
6.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.4M

26K claims · 1.0%

Your Cost: $53.37/claim|Median: $24.49
2.2× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.0M

32K claims · 0.7%

Your Cost: $32.42/claim|Median: $18.18
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$378K

5K claims · 0.3%

Your Cost: $81.00/claim|Median: $99.21
0.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$276K

8K claims · 0.2%

Your Cost: $34.84/claim|Median: $20.04
1.7× median
92609Normal range

$129K

2K claims · 0.1%

Your Cost: $66.41/claim|Median: $59.78
1.1× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$115K

2K claims · 0.1%

Your Cost: $49.25/claim|Median: $49.74
1.0× median
96155Normal range

$112K

2K claims · 0.1%

Your Cost: $51.90/claim|Median: $34.72
1.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$91K

854 claims · 0.1%

Your Cost: $106.39/claim|Median: $110.87
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$90K

1K claims · 0.1%

Your Cost: $83.73/claim|Median: $84.12
1.0× median
97156Normal range

$68K

1K claims · 0.0%

Your Cost: $53.08/claim|Median: $88.65
0.6× median
97151Normal range

Behavior identification assessment

$55K

482 claims · 0.0%

Your Cost: $114.39/claim|Median: $161.10
0.7× median
96150Top 5%

Health behavior assessment, initial

$51K

380 claims · 0.0%

Your Cost: $133.32/claim|Median: $17.83
7.5× median
97167Normal range

OT evaluation, high complexity

$32K

574 claims · 0.0%

Your Cost: $55.74/claim|Median: $70.96
0.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$26K

908 claims · 0.0%

Your Cost: $28.38/claim|Median: $79.21
0.4× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$10K

935 claims · 0.0%

Your Cost: $11.04/claim|Median: $30.49
0.4× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$10K

922 claims · 0.0%

Your Cost: $10.62/claim|Median: $92.96
0.1× median
96112Normal range

Developmental test administration

$3K

85 claims · 0.0%

Your Cost: $38.14/claim|Median: $102.95
0.4× median
97165Normal range

OT evaluation, low complexity

$3K

60 claims · 0.0%

Your Cost: $51.72/claim|Median: $46.78
1.1× median
92610Normal range

Evaluation of swallowing function

$2K

33 claims · 0.0%

Your Cost: $69.09/claim|Median: $45.22
1.5× median
96113Normal range

Developmental test admin, each additional 30 min

$2K

62 claims · 0.0%

Your Cost: $32.76/claim|Median: $77.06
0.4× median
97163Normal range

PT evaluation, high complexity

$1K

25 claims · 0.0%

Your Cost: $58.12/claim|Median: $50.34
1.1× median

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