DANIEL VALENZUELA, MD
Ophthalmology Physician · NASHVILLE, TN
Individual Active NPI 1568959849
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 544 | 911 | $507,084 | $117,494 | $89,646 |
| 2023 | 515 | 949 | $458,177 | $104,507 | $76,747 |
| 2022 | 105 | 165 | $65,710 | $18,199 | $13,983 |
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 | 167 | $93 | $67 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 132 | $123 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 68 | $64 | $49 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 64 | $502 | $403 |
| 92133 | Imaging of optic nerve | 57 | $20 | $16 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $128 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 42 | $87 | $68 |
| 92083 | Exam of visual field with extended testing | 33 | $26 | $18 |
| 92133 | Imaging of optic nerve | 30 | $32 | $22 |
| 92083 | Exam of visual field with extended testing | 28 | $59 | $47 |
| 92134 | Imaging of retina | 26 | $24 | $18 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $160 | $97 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 65895 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.