Behavioral
Mercado, Alfonso
Mercado, Alfonso was paid $15K by Medicaid between Oct 2020 and Apr 2024, across 5 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 32% of everything it billed.
33Billing provider infoMERCADO, ALFONSO
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1528390093assigned 02/08/2010
33bProvider typeClinical Psychologist
28Total paid$15K
24GClaims149
24DCodes billed5
24AFirst – last monthOct 2020 – Apr 2024
Compared with peers
Next to other Clinical Psychologist providers in Texas
Rank by total paid#79 of 101
Median peer was paid$77K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 14 | $2K | |
| 2021 | 62 | $6K | |
| 2024incomplete | 73 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 32% | 39 | 39 | $5K |
| 96131 | 31% | 28 | 28 | $5K | |
| 96130 | 18% | 28 | 28 | $3K | |
| 96137 | 13% | 27 | 27 | $2K | |
| 96136 | 6.7% | 27 | 27 | $1K |
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.