Speck, Rafael

Speck, Rafael was paid $176K by Medicaid between Jan 2021 and Aug 2023, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoSPECK, RAFAEL
IRVINE, CA 92614

33aNPI1154888055assigned 02/27/2019

33bProvider typeMarriage & Family Therapist

28Total paid$176K

24GClaims2,124

24DCodes billed2

24AFirst – last monthJan 2021 – Aug 2023

Compared with peers

Next to other Marriage & Family Therapist providers in California

Rank by total paid#504 of 1,717

Median peer was paid$66K

This provider vs. median2.7×

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
2021	785	$61K
2022	813	$63K
2023	526	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	99%	2,098	1,067	$174K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.2%	26	26	$2K

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.