Ramos, Edgar

Ramos, Edgar was paid $1.26M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoRAMOS, EDGAR
PALATINE, IL 60067

33aNPI1205140274assigned 08/03/2010

33bProvider typeClinical Psychologist

28Total paid$1.26M

24GClaims13,188

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinical Psychologist providers in Illinois

Rank by total paid#5 of 198

Median peer was paid$17K

This provider vs. median74×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

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	666	$28K
2019	1,200	$68K
2020	2,253	$184K
2021	1,995	$192K
2022	2,142	$232K
2023	2,624	$278K
2024incomplete	2,308	$275K

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	98%	12,799	4,683	$1.23M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	290	110	$11K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	99	73	$11K

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.