Physician
Valencia, Rainilda
Valencia, Rainilda was paid $163K by Medicaid between Jan 2018 and Aug 2024, across 56 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 29% of everything it billed.
33Billing provider infoVALENCIA, RAINILDA
VICTORVILLE, CA 92395
VICTORVILLE, CA 92395
33aNPI1114009107assigned 10/19/2006
33bProvider typePediatrics Physician
28Total paid$163K
24GClaims27,122
24DCodes billed56
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#398 of 1,490
Median peer was paid$15K
This provider vs. median11×
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 | 13,755 | $26K | |
| 2019 | 8,744 | $21K | |
| 2020 | 265 | $2K | |
| 2021 | 1,049 | $22K | |
| 2022 | 857 | $29K | |
| 2023 | 1,333 | $34K | |
| 2024incomplete | 1,119 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 29% | 1,094 | 1,089 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,689 | 2,487 | $43K |
| 99381 | 9.8% | 294 | 293 | $16K | |
| 92552 | 6.4% | 3,264 | 3,255 | $10K | |
| 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 | 6.1% | 1,072 | 998 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.8% | 2,386 | 2,357 | $9K |
| 90648 | 2.3% | 570 | 569 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 1,164 | 1,163 | $3K |
| 90723 | 1.6% | 337 | 336 | $3K | |
| 90670 | 1.4% | 392 | 392 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,385 | 1,379 | $2K |
| G9920 | Screening performed and negative | 1.2% | 515 | 507 | $2K |
44 more codes
| 90681 | <1% | 216 | $1K | |
| 90671 | <1% | 159 | $1K | |
| 94760 | <1% | 971 | $1K | |
| 85018 | <1% | 660 | $1K | |
| 90686 | <1% | 220 | $1K | |
| 86580 | <1% | 273 | $829.11 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $788.88 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $668.16 |
| 99383 | <1% | 195 | $531.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 290 | $487.00 |
| 81003 | <1% | 414 | $253.77 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 740 | $238.84 |
| 99188 | <1% | 371 | $235.20 | |
| 99382 | <1% | 44 | $153.96 | |
| 99384 | <1% | 68 | $143.28 | |
| 99173 | <1% | 2,640 | $124.65 | |
| 96127 | <1% | 25 | $111.22 | |
| A4614 | Peak expiratory flow rate meter, hand held | <1% | 629 | $94.57 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 147 | $86.04 |
| 94010 | <1% | 589 | $84.71 | |
| 90633 | <1% | 132 | $83.70 | |
| 90651 | <1% | 128 | $36.00 | |
| 90707 | <1% | 36 | $36.00 | |
| 90716 | <1% | 34 | $27.00 | |
| 90710 | <1% | 52 | $18.00 | |
| 90700 | <1% | 81 | $18.00 | |
| 90713 | <1% | 40 | $18.00 | |
| 90734 | <1% | 91 | $18.00 | |
| 90620 | <1% | 36 | $9.00 | |
| 90696 | <1% | 54 | $9.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 296 | $0.60 |
| 96156 | <1% | 12 | $0.10 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 325 | $0.03 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 79 | $0.02 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 49 | $0.00 |
| 3008F | 0% | 197 | $0.00 | |
| 3352F | 0% | 299 | $0.00 | |
| 1220F | 0% | 429 | $0.00 | |
| 1005F | 0% | 692 | $0.00 | |
| 3353F | 0% | 40 | $0.00 | |
| 2010F | 0% | 29 | $0.00 | |
| 92567 | 0% | 45 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 13 | $0.00 |
| 90715 | 0% | 36 | $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.