EMIL VALLE, M.D.
Gastroenterology Physician · RESTON, VA
Individual Active NPI 1497711238
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 531 | 7,866 | $1,105,262 | $292,944 | $235,039 |
| 2023 | 512 | 6,309 | $976,117 | $240,452 | $191,333 |
| 2022 | 512 | 9,029 | $1,038,882 | $282,287 | $221,336 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $141 | $108 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 93 | $101 | $76 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 78 | $263 | $221 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | $126 | $99 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | $107 | $86 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 54 | $90 | $75 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $184 | $138 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | $184 | $147 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $120 | $96 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | $81 | $62 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | $510 | $428 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $139 | $111 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0101840470 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.