npidexNPI registry + Medicare data

CAROLINA FONSECA VALENCIA, M.D.

Geriatric Medicine (Internal Medicine) Physician · PROVIDENCE, RI

Individual Active NPI 1821309972

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024210815$242,577$79,741$61,713
2023206518$209,091$68,401$53,023
2022104213$82,968$26,849$21,180

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's155$17$14
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more139$162$127
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes124$123$98
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or69$33$26
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more57$151$103
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's45$17$13
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes41$181$144
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more25$191$134
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th25$31$25
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and19$59$47
99443Telephone medical discussion with physician, 21-30 minutes19$140$107
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit17$142$142

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Geriatric Medicine (Internal Medicine) Physician207RG0300X✓283408MA
Internal Medicine Physician207R00000XMD14725RI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Geriatric Medicine (Internal Medicine) Physician providers in Rhode Island

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.