Behavioral
Gorgan, Ella
Gorgan, Ella was paid $623K by Medicaid between Jan 2018 and Apr 2019, across 8 billing codes. Its largest line is 0365T, — 50% of everything it billed.
33Billing provider infoGORGAN, ELLA
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
33aNPI1851752851assigned 03/18/2016
33bProvider typeBehavioral Analyst
28Total paid$623K
24GClaims11,442
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Behavioral Analyst providers in Wisconsin
Rank by total paid#56 of 109
Median peer was paid$661K
This provider vs. median0.9×
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 | 10,061 | $500K | |
| 2019 | 1,381 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0365T | 50% | 3,758 | 266 | $311K | |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 17% | 1,062 | 65 | $104K |
| 0364T | 13% | 3,968 | 271 | $80K | |
| 0369T | 7.8% | 839 | 249 | $48K | |
| 0370T | 6.1% | 597 | 221 | $38K | |
| 0368T | 3.7% | 899 | 253 | $23K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 2.5% | 248 | 61 | $16K |
| 97156 | <1% | 71 | 27 | $3K |
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.