Smith, Mary

Smith, Mary was paid $1.31M by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 31% of everything it billed.

33Billing provider infoSMITH, MARY
BROOKFIELD, WI 53005

33aNPI1114337995assigned 05/02/2014

33bProvider typeBehavioral Analyst

28Total paid$1.31M

24GClaims18,241

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Behavioral Analyst providers in Wisconsin

Rank by total paid#41 of 109

Median peer was paid$661K

This provider vs. median2.0×

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	13,053	$703K
2019	5,188	$606K

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	31%	3,368	179	$400K
0365T		30%	4,835	222	$397K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	16%	1,820	177	$206K
0369T		13%	1,533	214	$166K
0364T		5.5%	4,952	222	$72K
0368T		4.4%	1,608	214	$57K
0370T		<1%	125	76	$11K

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.