Physician
Valdez & Soto, LLC
Valdez & Soto, LLC was paid $646K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 38% of everything it billed.
33Billing provider infoVALDEZ & SOTO, LLC
PEWAUKEE, WI 53072
PEWAUKEE, WI 53072
33aNPI1114377702assigned 06/15/2016
33bProvider typeChild & Adolescent Psychiatry Physician
28Total paid$646K
24GClaims53,703
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Child & Adolescent Psychiatry Physician providers in Wisconsin
Rank by total paid#1 of 13
Median peer was paid$9K
This provider vs. median75×
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 | 1,209 | $6K | |
| 2019 | 3,712 | $11K | |
| 2020 | 10,882 | $179K | |
| 2021 | 12,829 | $194K | |
| 2022 | 12,922 | $129K | |
| 2023 | 7,658 | $66K | |
| 2024incomplete | 4,491 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 38% | 15,249 | 10,963 | $243K |
| 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 | 32% | 14,950 | 10,827 | $205K |
| Q3014 | Telehealth originating site facility fee | 14% | 15,762 | 11,144 | $88K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 8.0% | 1,547 | 1,245 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,203 | 989 | $16K |
| 90836 | 2.4% | 1,059 | 800 | $16K | |
| 90785 | 1.6% | 2,395 | 1,782 | $10K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 272 | 213 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 162 | 111 | $5K |
| 90875 | <1% | 105 | 75 | $3K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 48 | 38 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 91 | 74 | $766.61 |
5 more codes
| 96127 | <1% | 744 | $274.64 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $245.73 |
| 80305 | <1% | 41 | $65.30 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 23 | $63.51 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 39 | $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 officialDURST, BOBBI (OWNER)