Rivera Santana, Pedro

Rivera Santana, Pedro was paid $596K by Medicaid between Jul 2020 and Apr 2023, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 96% of everything it billed.

33Billing provider infoRIVERA SANTANA, PEDRO
FORT BELVOIR, VA 22060

33aNPI1942226725assigned 07/14/2006

33bProvider typeClinical Psychologist

28Total paid$596K

24GClaims6,016

24DCodes billed3

24AFirst – last monthJul 2020 – Apr 2023

Compared with peers

Next to other Clinical Psychologist providers in Virginia

Rank by total paid#10 of 104

Median peer was paid$22K

This provider vs. median28×

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	4,576	$463K
2021	1,405	$132K
2023	35	$910.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	96%	5,822	718	$572K
H2012	Behavioral health day treatment, per hour	3.5%	140	14	$21K
H0031	Mental health assessment, by non-physician	<1%	54	51	$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.