Behavioral
Smith, Virginia
Smith, Virginia was paid $627K by Medicaid between Jan 2019 and Sep 2021, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 57% of everything it billed.
33Billing provider infoSMITH, VIRGINIA
KENOSHA, WI 53140
KENOSHA, WI 53140
33aNPI1093732679assigned 07/17/2006
33bProvider typeMental Health Counselor
28Total paid$627K
24GClaims8,238
24DCodes billed3
24AFirst – last monthJan 2019 – Sep 2021
Compared with peers
Next to other Mental Health Counselor providers in Wisconsin
Rank by total paid#20 of 189
Median peer was paid$19K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2019 | 1,569 | $118K | |
| 2020 | 3,515 | $271K | |
| 2021 | 3,154 | $238K |
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 | 57% | 4,992 | 485 | $360K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 30% | 2,297 | 504 | $190K |
| 97156 | 12% | 949 | 423 | $76K |
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.