Behavioral
Martyn, Heather
Martyn, Heather was paid $2.40M by Medicaid between Sep 2018 and Dec 2024, across 8 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 52% of everything it billed.
33Billing provider infoMARTYN, HEATHER
BROOKFIELD, WI 53005
BROOKFIELD, WI 53005
33aNPI1073006334assigned 06/12/2018
33bProvider typeBehavioral Analyst
28Total paid$2.40M
24GClaims21,017
24DCodes billed8
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Wisconsin
Rank by total paid#20 of 109
Median peer was paid$661K
This provider vs. median3.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,563 | $154K | |
| 2019 | 4,329 | $551K | |
| 2020 | 4,190 | $474K | |
| 2021 | 3,533 | $394K | |
| 2022 | 3,897 | $441K | |
| 2024incomplete | 2,505 | $383K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 52% | 11,101 | 767 | $1.25M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 39% | 6,469 | 858 | $939K |
| 0365T | 3.4% | 902 | 56 | $83K | |
| 97156 | 2.4% | 884 | 435 | $58K | |
| 0369T | 1.6% | 354 | 59 | $39K | |
| 0364T | <1% | 928 | 56 | $18K | |
| 0368T | <1% | 359 | 59 | $13K | |
| 0370T | <1% | 20 | 12 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.