CARLO VALENCIA, MD
Internal Medicine Physician · BEAR, DE
Individual Active NPI 1851543862
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 669 | 1,880 | $370,680 | $200,823 | $154,271 |
| 2023 | 616 | 1,471 | $283,467 | $154,378 | $122,872 |
| 2022 | 533 | 1,329 | $240,511 | $135,952 | $103,575 |
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 | 670 | $121 | $81 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 337 | $128 | $128 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 236 | $174 | $118 |
| G2211 | Visit 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's | 144 | $16 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 128 | $80 | $58 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 64 | $22 | $22 |
| G0008 | Administration of influenza virus vaccine | 52 | $32 | $32 |
| 90662 | Influenza vaccine split virus, preservative free | 51 | $82 | $82 |
| 81002 | Urinalysis, manual test | 24 | $3 | $3 |
| 83036 | Hemoglobin a1c level | 24 | $10 | $10 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 22 | $14 | $9 |
| 99496 | Transitional care management services for problem of high complexity | 17 | $267 | $213 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | C1-0009802 | DE |
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.