Thomas, Cynthia

Thomas, Cynthia was paid $1.23M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 97155, Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes — 39% of everything it billed.

33Billing provider infoTHOMAS, CYNTHIA
GREEN BAY, WI 54313

33aNPI1780868125assigned 12/20/2007

33bProvider typeSocial Worker

28Total paid$1.23M

24GClaims15,472

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Social Worker providers in Wisconsin

Rank by total paid#6 of 67

Median peer was paid$8K

This provider vs. median152×

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	3,736	$437K
2019	602	$86K
2020	368	$35K
2023	198	$16K
2024incomplete	10,568	$654K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	39%	6,019	467	$480K
0365T		25%	1,246	163	$301K
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	18%	3,140	270	$217K
97156		6.1%	2,256	332	$75K
0369T		4.7%	600	150	$58K
0364T		4.6%	1,222	161	$56K
0368T		1.8%	617	149	$22K
97151		1.2%	161	54	$15K
97158		<1%	73	24	$2K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	22	17	$2K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	116	71	$122.67

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.