Behavioral
Hernandez, Monica
Hernandez, Monica was paid $513K by Medicaid between Nov 2020 and Sep 2024, across 5 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 43% of everything it billed.
33Billing provider infoHERNANDEZ, MONICA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1598841454assigned 10/31/2006
33bProvider typeClinical Psychologist
28Total paid$513K
24GClaims6,945
24DCodes billed5
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other Clinical Psychologist providers in Texas
Rank by total paid#22 of 101
Median peer was paid$77K
This provider vs. median6.7×
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 | 89 | $8K | |
| 2021 | 1,356 | $97K | |
| 2022 | 2,049 | $156K | |
| 2023 | 2,309 | $168K | |
| 2024incomplete | 1,142 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 43% | 1,760 | 1,662 | $220K |
| 96130 | 30% | 1,719 | 1,629 | $155K | |
| 96136 | 12% | 1,650 | 1,570 | $61K | |
| 96137 | 12% | 1,617 | 1,536 | $60K | |
| 96131 | 3.2% | 199 | 189 | $16K |
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.