Scholz, Janice

Scholz, Janice was paid $5.66M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 50% of everything it billed.

33Billing provider infoSCHOLZ, JANICE
MADISON, WI 53717

33aNPI1821444795assigned 05/10/2016

33bProvider typeBehavioral Analyst

28Total paid$5.66M

24GClaims54,600

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Behavioral Analyst providers in Wisconsin

Rank by total paid#3 of 109

Median peer was paid$661K

This provider vs. median8.6×

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	20,786	$1.10M
2019	6,846	$857K
2020	5,238	$665K
2021	3,807	$503K
2022	3,667	$591K
2023	5,917	$864K
2024incomplete	8,339	$1.08M

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	50%	22,343	1,338	$2.84M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	29%	10,425	1,355	$1.64M
0365T		10%	7,338	341	$585K
0369T		4.7%	2,691	345	$266K
0364T		2.1%	7,578	341	$117K
0368T		1.8%	2,809	347	$100K
97156		<1%	622	327	$45K
0370T		<1%	370	216	$33K
97151		<1%	424	211	$31K

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.