Held, Crystal

Held, Crystal was paid $1.69M by Medicaid between Jan 2018 and Aug 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 infoHELD, CRYSTAL
MADISON, WI 53717

33aNPI1770987356assigned 10/10/2014

33bProvider typeBehavioral Analyst

28Total paid$1.69M

24GClaims22,244

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Behavioral Analyst providers in Wisconsin

Rank by total paid#31 of 109

Median peer was paid$661K

This provider vs. median2.6×

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	13,062	$700K
2019	6,584	$706K
2020	958	$94K
2021	1,640	$192K

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%	6,170	353	$641K
0365T		22%	4,683	273	$368K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	20%	2,727	370	$337K
0369T		11%	1,706	266	$189K
0364T		4.1%	4,802	273	$70K
0368T		3.7%	1,760	266	$63K
97156		<1%	171	78	$11K
0370T		<1%	111	70	$10K
97151		<1%	114	50	$4K

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.