Otero, Rafael

Otero, Rafael was paid $323K by Medicaid between Sep 2019 and Oct 2021, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 24% of everything it billed.

33Billing provider infoOTERO, RAFAEL
TEXARKANA, TX 75503

33aNPI1497784748assigned 06/30/2006

33bProvider typeClinical Psychologist

28Total paid$323K

24GClaims5,218

24DCodes billed6

24AFirst – last monthSep 2019 – Oct 2021

Compared with peers

Next to other Clinical Psychologist providers in Texas

Rank by total paid#28 of 101

Median peer was paid$77K

This provider vs. median4.2×

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
2019	656	$35K
2020	2,192	$144K
2021	2,370	$144K

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	24%	1,142	747	$79K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	24%	1,458	894	$78K
96131		23%	1,432	394	$75K
96130		17%	763	332	$55K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	10%	380	321	$33K
96132		<1%	43	14	$3K

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.