Behavioral
Rafael F Otero, PHD, INC
Rafael F Otero, PHD, INC was paid $254K by Medicaid between Jan 2018 and Jul 2021, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 31% of everything it billed.
33Billing provider infoRAFAEL F OTERO, PHD, INC
TEXARKANA, TX 75503
TEXARKANA, TX 75503
33aNPI1518902303assigned 06/17/2006
33bProvider typeClinical Psychologist
28Total paid$254K
24GClaims4,105
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Clinical Psychologist providers in Texas
Rank by total paid#35 of 101
Median peer was paid$77K
This provider vs. median3.3×
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
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 | 2,228 | $173K | |
| 2019 | 1,543 | $81K | |
| 2021 | 334 | $249.08 |
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 | 31% | 1,431 | 931 | $79K |
| 96101 | 30% | 628 | 189 | $77K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 635 | 449 | $30K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 9.6% | 518 | 368 | $24K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.9% | 302 | 274 | $22K |
| 96130 | 4.5% | 244 | 79 | $11K | |
| 96131 | 2.7% | 272 | 90 | $7K | |
| 90887 | 1.4% | 75 | 71 | $4K |
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 officialOTERO, RAFAEL (PRES./PSYCHOLOGIST)
| Provider | Location | Paid |
|---|---|---|
| RGV Health Medical Clinic, PLLC | Brownsville, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.