DAVID VALADEZ, M.D.
Gastroenterology Physician · ROUND ROCK, TX
Individual Active NPI 1902250327
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 412 | 1,188 | $556,893 | $132,684 | $104,398 |
| 2023 | 159 | 423 | $169,552 | $45,211 | $36,107 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 261 | $127 | $100 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 191 | $77 | $61 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 157 | $82 | $64 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 141 | $48 | $38 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 63 | $241 | $188 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 59 | $129 | $103 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $106 | $84 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 31 | $109 | $87 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 29 | $167 | $129 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 25 | $123 | $94 |
| 43246 | Insertion of stomach tube using a flexible endoscope | 19 | $191 | $152 |
| 45331 | Biopsy of lower large bowel using a flexible endoscope | 13 | $60 | $48 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | S0585 | TX |
| Internal Medicine Physician | 207R00000X | S0585 | TX | |
| Hospitalist Physician | 208M00000X | S0585 | TX |
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.