Behavioral
Upthegrove, Janelle
Upthegrove, Janelle was paid $295K by Medicaid between Jan 2022 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 91% of everything it billed.
33Billing provider infoUPTHEGROVE, JANELLE
FREMONT, WI 54940
FREMONT, WI 54940
33aNPI1275923419assigned 01/26/2015
33bProvider typeBehavioral Analyst
28Total paid$295K
24GClaims3,675
24DCodes billed3
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Wisconsin
Rank by total paid#70 of 109
Median peer was paid$661K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 1,672 | $145K | |
| 2023 | 261 | $17K | |
| 2024incomplete | 1,742 | $132K |
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 | 91% | 3,337 | 324 | $268K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 5.9% | 253 | 48 | $17K |
| T1005 | Respite care services, up to 15 minutes | 3.0% | 85 | 12 | $9K |
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.