Sherman, Michelle

Sherman, Michelle was paid $1.65M by Medicaid between Jan 2018 and Jul 2021, across 9 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 38% of everything it billed.

33Billing provider infoSHERMAN, MICHELLE
MADISON, WI 53717

33aNPI1255539052assigned 07/03/2007

33bProvider typeSocial Worker

28Total paid$1.65M

24GClaims19,746

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Social Worker providers in Wisconsin

Rank by total paid#4 of 67

Median peer was paid$8K

This provider vs. median204×

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	10,547	$584K
2019	5,155	$627K
2020	2,035	$224K
2021	2,009	$211K

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	38%	5,615	329	$622K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	25%	3,086	443	$411K
0365T		19%	3,842	201	$310K
0369T		10.0%	1,339	210	$164K
0364T		3.4%	3,935	201	$56K
0368T		2.9%	1,361	210	$48K
97156		1.0%	255	126	$16K
97151		<1%	243	79	$12K
0370T		<1%	70	41	$6K

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.