NP / PA
De Valle & Associates Physicians PLLC
De Valle & Associates Physicians PLLC was paid $178K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoDE VALLE & ASSOCIATES PHYSICIANS PLLC
HOUSTON, TX 77065
HOUSTON, TX 77065
33aNPI1003821687assigned 07/30/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$178K
24GClaims19,996
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#60 of 344
Median peer was paid$14K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 78 | $467.30 | |
| 2019 | 500 | $3K | |
| 2020 | 1,907 | $10K | |
| 2021 | 5,113 | $38K | |
| 2022 | 7,354 | $66K | |
| 2023 | 3,468 | $34K | |
| 2024incomplete | 1,576 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 3,842 | 3,159 | $124K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.0% | 1,156 | 580 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.8% | 665 | 629 | $9K |
| 99091 | 4.0% | 53 | 50 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 90 | 85 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 38 | 38 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 71 | 70 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 60 | 55 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 36 | 34 | $2K |
| 99406 | 1.1% | 427 | 338 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 176 | 94 | $1K |
| 99385 | <1% | 14 | 13 | $1K |
45 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $920.26 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 69 | $832.70 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 76 | $426.78 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $418.74 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 96 | $402.10 |
| 90686 | <1% | 57 | $382.18 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 387 | $368.62 |
| 93000 | <1% | 29 | $278.04 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $241.86 |
| 90461 | <1% | 30 | $230.14 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 120 | $170.85 |
| 82947 | <1% | 90 | $142.25 | |
| 0012A | <1% | 19 | $136.27 | |
| 0011A | <1% | 25 | $132.12 | |
| 82044 | <1% | 17 | $52.30 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 168 | $48.96 |
| 82570 | <1% | 17 | $48.30 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 409 | $0.00 |
| 1170F | 0% | 50 | $0.00 | |
| 1036F | 0% | 2,241 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 114 | $0.00 |
| 3008F | 0% | 3,675 | $0.00 | |
| 4000F | 0% | 296 | $0.00 | |
| 1125F | 0% | 592 | $0.00 | |
| 3074F | 0% | 15 | $0.00 | |
| 3079F | 0% | 55 | $0.00 | |
| 3075F | 0% | 51 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 1034F | 0% | 19 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 104 | $0.00 |
| 91301 | 0% | 50 | $0.00 | |
| 1159F | 0% | 1,350 | $0.00 | |
| 1160F | 0% | 1,351 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 77 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 262 | $0.00 |
| 3725F | 0% | 593 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 0518F | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 96 | $0.00 |
| 1090F | 0% | 50 | $0.00 | |
| 0521F | 0% | 446 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 77 | $0.00 |
| 3288F | 0% | 49 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 3078F | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDE VALLE, OSCAR (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Clinica Hispana, P.A. | Houston, TX | $1.51M |
| Clinica Hispana II, P.A. | Houston, TX | $183K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.