RAFAEL VALENCIA, M.D.
Cardiovascular Disease Physician · LAS VEGAS, NV
Individual Active NPI 1366494247
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,497 | 28,842 | $9,876,634 | $3,101,086 | $2,440,172 |
| 2023 | 2,011 | 24,973 | $8,758,047 | $2,904,808 | $2,290,289 |
| 2022 | 1,224 | 21,082 | $5,365,036 | $1,649,961 | $1,289,989 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 13,500 | $0 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 3,752 | $6 | $5 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1,753 | $503 | $401 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,546 | $47 | $36 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,092 | $61 | $46 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 1,037 | $67 | $53 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 659 | $124 | $86 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 627 | $87 | $62 |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 609 | $130 | $104 |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 472 | $1,428 | $1,134 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 440 | $14 | $10 |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 408 | $1,791 | $1,423 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 12207 | NV |
| Cardiovascular Disease Physician | 207RC0000X | A90757 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Cardiovascular Disease Physician providers in Nevada
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- NPI 1255764429
- NPI 1194955021
- NPI 1326359829
See all Cardiovascular Disease Physician providers in Nevada →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.