Behavioral
Ortez, Herman
Ortez, Herman was paid $180K by Medicaid between Jan 2020 and May 2024, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.
33Billing provider infoORTEZ, HERMAN
CLAYMONT, DE 19703
CLAYMONT, DE 19703
33aNPI1437514908assigned 12/28/2015
33bProvider typeMental Health Counselor
28Total paid$180K
24GClaims2,257
24DCodes billed1
24AFirst – last monthJan 2020 – May 2024
Compared with peers
Next to other Mental Health Counselor providers in Delaware
Rank by total paid#19 of 57
Median peer was paid$53K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 242 | $18K | |
| 2021 | 697 | $59K | |
| 2022 | 508 | $47K | |
| 2023 | 536 | $40K | |
| 2024incomplete | 274 | $16K |
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 | 100% | 2,257 | 536 | $180K |
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.