DAVID VALENCIA, M.D.
Otolaryngology Physician · LA CROSSE, WI
Individual Active NPI 1841482866
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 239 | 577 | $564,719 | $66,485 | $50,812 |
| 2023 | 297 | 657 | $385,536 | $54,485 | $41,019 |
| 2022 | 335 | 643 | $464,020 | $61,812 | $46,008 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 81 | $64 | $48 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 45 | $64 | $44 |
| 69210 | Removal of impacted ear wax | 32 | $30 | $19 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 31 | $66 | $46 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 30 | $34 | $25 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $76 | $50 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 23 | $61 | $47 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 21 | $61 | $41 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $79 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 17 | $122 | $93 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 15 | $66 | $46 |
| 69210 | Removal of impacted ear wax | 15 | $31 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 62783 | WI |
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.