Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Kenosha › NPI 1093732679
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
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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20191,569$118K
20203,515$271K
20213,154$238K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.