Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ZAVODNIK, ELISHA

NPI: 1538554712 · SUPERIOR, WI 54880 · Behavioral Analyst · NPI assigned 04/03/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.

$4.07M
Total Medicaid Paid
15,765
Total Claims
764
Beneficiaries
2
Codes Billed
2021-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,704 $454K
2022 3,941 $1.03M
2023 5,159 $1.37M
2024 4,961 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 15,707 750 $4.06M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 58 14 $11K