Exclusive | FBI Probes Autism Therapy Provider That Billed $30,000 a Day

A facts-only brief, written by a local AI model from this article in The Wall Street Journal, November 3, 2026. It may contain mistakes, and it is not the article: the full story is at wsj.com.

The FBI is investigating the billing practices of the Brooklyn-based autism therapy provider The Perfect Child, with agents contacting clients and insurers in recent months. The probe follows reports that the company charged rates exceeding $30,000 daily and sued families for alleged debts, including a $911,000 bill for a New Jersey patient. Insurers Highmark, Elevance Health, and Aetna have also examined the provider’s practices, while a congressional committee requested documents regarding reimbursement arrangements. The company’s owner declined to comment, and the firm continues to operate, filing new lawsuits against patient families in New York courts.

Background

• Federal spending on applied behavior analysis services rose to $10 billion in 2025, up from $2 billion in 2021, according to the Centers for Medicare and Medicaid Services.
• The Perfect Child did not participate in most insurer networks, meaning no contracts governed its rates, and it has been investigated by the FBI previously.
• A collections manager allegedly threatened a parent with an FBI case if she did not pay a debt, according to an email cited in the report.
• The House Committee on Education and Workforce is investigating whether industry reimbursement arrangements contribute to excessive healthcare costs.

Read the full article at wsj.com

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