Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Apple Valley › NPI 1205855285
Physician

Valdez, Julia

Valdez, Julia was paid $404K by Medicaid between Mar 2018 and Nov 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoVALDEZ, JULIA
APPLE VALLEY, CA 92307
33aNPI1205855285assigned 07/19/2006
33bProvider typeOphthalmology Physician
28Total paid$404K
24GClaims19,771
24DCodes billed22
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#156 of 759
Median peer was paid$35K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,385$36K
20192,445$63K
20201,671$39K
20211,924$33K
20222,738$59K
20234,677$85K
2024incomplete4,931$89K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 2,639 2,614 $92K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 1,887 1,876 $86K
V2020 Frames, purchases 17% 3,384 3,365 $70K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 2,347 2,327 $54K
92015 Determination of refractive state 8.3% 3,860 3,832 $33K
92341 7.7% 930 926 $31K
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 5.2% 623 621 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 280 272 $6K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.3% 78 78 $5K
92083 <1% 145 143 $3K
92133 <1% 110 110 $2K
92250 <1% 27 27 $652.19
10 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 30 $121.38
1036F 0% 1,945 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 69 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 81 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 16 $0.00
5010F 0% 396 $0.00
2022F 0% 411 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 422 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 34 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 57 $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.