Aguilar, Cesar
Aguilar, Cesar was paid $1.81M by Medicaid between Oct 2020 and Oct 2024, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 98% of everything it billed.
33Billing provider infoAGUILAR, CESAR
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1669959037assigned 07/27/2018
33bProvider typeOccupational Therapist
28Total paid$1.81M
24GClaims26,081
24DCodes billed3
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#16 of 299
Median peer was paid$93K
This provider vs. median19×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration98% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
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 | 441 | $36K | |
| 2021 | 6,769 | $507K | |
| 2022 | 5,123 | $354K | |
| 2023 | 9,878 | $683K | |
| 2024incomplete | 3,870 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 25,614 | 4,697 | $1.77M |
| 97168 | 1.4% | 323 | 320 | $25K | |
| 97167 | <1% | 144 | 141 | $12K |
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.