Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Hernandez, Karen

Hernandez, Karen was paid $172K by Medicaid between Oct 2022 and Oct 2024, across 8 billing codes. Its largest line is 96131, — 31% of everything it billed.

33Billing provider infoHERNANDEZ, KAREN
BEAVERTON, OR 97005
33aNPI1699828020assigned 01/19/2007
33bProvider typePsychologist
28Total paid$172K
24GClaims597
24DCodes billed8
24AFirst – last monthOct 2022 – Oct 2024
Compared with peers

Next to other Psychologist providers in Oregon

Rank by total paid#14 of 33
Median peer was paid$128K
This provider vs. median1.3×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202290$25K
2023211$57K
2024incomplete296$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96131 31% 80 62 $53K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 20% 129 105 $35K
96137 16% 51 39 $28K
96113 13% 63 53 $22K
90885 9.7% 80 66 $17K
96130 4.8% 80 62 $8K
96112 4.2% 63 53 $7K
96136 1.5% 51 39 $3K

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.