AGUILAR, CESAR
NPI: 1669959037
· EDINBURG, TX 78539
· Occupational Therapist
· NPI assigned 07/27/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$1.81M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
441 |
$36K |
| 2021 |
6,769 |
$507K |
| 2022 |
5,123 |
$354K |
| 2023 |
9,878 |
$683K |
| 2024 |
3,870 |
$225K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
25,614 |
4,697 |
$1.77M |
| 97168 |
|
323 |
320 |
$25K |
| 97167 |
|
144 |
141 |
$12K |