Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Isern, Raul

Isern, Raul was paid $1.35M by Medicaid between Oct 2019 and Nov 2024, across 6 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 31% of everything it billed.

33Billing provider infoISERN, RAUL
BEAUMONT, TX 77706
33aNPI1417081852assigned 03/16/2007
28Total paid$1.35M
24GClaims30,106
24DCodes billed6
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Texas

Rank by total paid#9 of 61
Median peer was paid$184K
This provider vs. median7.3×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2019115$7K
20201,606$77K
20214,525$238K
20227,690$329K
20239,390$451K
2024incomplete6,780$250K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 31% 9,668 7,329 $418K
90836 21% 4,908 4,147 $291K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 9,570 7,227 $284K
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 17% 4,851 4,227 $223K
90792 Psychiatric diagnostic evaluation with medical services 9.6% 982 932 $130K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 127 101 $7K

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.