RAMOS, EDGAR
NPI: 1205140274
· PALATINE, IL 60067
· Clinical Psychologist
· NPI assigned 08/03/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$1.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
666 |
$28K |
| 2019 |
1,200 |
$68K |
| 2020 |
2,253 |
$184K |
| 2021 |
1,995 |
$192K |
| 2022 |
2,142 |
$232K |
| 2023 |
2,624 |
$278K |
| 2024 |
2,308 |
$275K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
12,799 |
4,683 |
$1.23M |
| 90834 |
Psychotherapy, 45 minutes with patient |
290 |
110 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
99 |
73 |
$11K |