NP / PA
Novelty Behavioral Health
Novelty Behavioral Health was paid $1.10M by Medicaid between Jan 2023 and Dec 2024, across 6 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 39% of everything it billed.
33Billing provider infoNOVELTY BEHAVIORAL HEALTH
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1336863513assigned 09/30/2022
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$1.10M
24GClaims22,684
24DCodes billed6
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Texas
Rank by total paid#6 of 145
Median peer was paid$27K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2023 | 7,591 | $326K | |
| 2024incomplete | 15,093 | $778K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 39% | 9,262 | 8,498 | $435K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 39% | 9,263 | 8,498 | $427K |
| 99205 | Prolong outpt/office vis | 21% | 2,447 | 2,415 | $231K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,687 | 1,511 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $781.69 |
| 80305 | <1% | 13 | 13 | $112.71 |
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.
From NPPES
Who's on the registration
Authorized officialCORREA, RAUL (PRESIDENT)