Bienvenido C & Teresity Valencia MD PA
Bienvenido C & Teresity Valencia MD PA was paid $221K by Medicaid between Jan 2018 and Oct 2020, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoBIENVENIDO C & TERESITY VALENCIA MD PA
PATERSON, NJ 07501
PATERSON, NJ 07501
33aNPI1023106424assigned 10/11/2006
33bProvider typeSpecialist
28Total paid$221K
24GClaims6,356
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#131 of 378
Median peer was paid$63K
This provider vs. median3.5×
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 | 1,862 | $71K | |
| 2019 | 2,596 | $86K | |
| 2020 | 1,898 | $63K |
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% | 3,041 | 2,441 | $155K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 213 | 207 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 158 | 154 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 473 | 470 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 104 | 103 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 373 | 371 | $3K |
| 92551 | 1.2% | 223 | 222 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 14 | $1K |
| 99173 | <1% | 230 | 229 | $1K | |
| 96127 | <1% | 320 | 318 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | 24 | $831.30 |
| 90461 | <1% | 73 | 73 | $613.63 |
9 more codes
| 86580 | <1% | 91 | $587.40 | |
| 3008F | <1% | 751 | $390.00 | |
| 90688 | <1% | 55 | $264.35 | |
| 96160 | <1% | 148 | $248.21 | |
| 99188 | <1% | 12 | $230.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $168.06 |
| 95117 | <1% | 16 | $117.40 | |
| 36416 | <1% | 13 | $71.80 | |
| 99000 | 0% | 12 | $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 officialVALENCIA, BIENVENIDO (OWNER)