Behavioral
Ruiz, Erika
Ruiz, Erika was paid $610K by Medicaid between Oct 2022 and Jun 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 86% of everything it billed.
33Billing provider infoRUIZ, ERIKA
ZEELAND, MI 49464
ZEELAND, MI 49464
33aNPI1669823324assigned 06/23/2016
33bProvider typeBehavioral Analyst
28Total paid$610K
24GClaims3,689
24DCodes billed4
24AFirst – last monthOct 2022 – Jun 2024
Compared with peers
Next to other Behavioral Analyst providers in Michigan
Rank by total paid#33 of 50
Median peer was paid$1.35M
This provider vs. median0.5×
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 | 269 | $45K | |
| 2023 | 2,667 | $454K | |
| 2024incomplete | 753 | $111K |
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 | 86% | 3,305 | 333 | $524K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 12% | 319 | 115 | $74K |
| 97151 | 1.2% | 27 | 12 | $7K | |
| 97156 | <1% | 38 | 25 | $5K |
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.