Valdes, Mauricio

Valdes, Mauricio was paid $78K by Medicaid between Apr 2018 and Nov 2024, across 8 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 76% of everything it billed.

33Billing provider infoVALDES, MAURICIO
YONKERS, NY 10701

33aNPI1215017769assigned 10/17/2006

33bProvider typeNephrology Physician

28Total paid$78K

24GClaims2,526

24DCodes billed8

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#141 of 559

Median peer was paid$18K

This provider vs. median4.5×

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	78	$1K
2019	342	$8K
2020	429	$14K
2021	504	$20K
2022	226	$7K
2023	595	$19K
2024incomplete	352	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	76%	916	916	$59K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	10%	1,030	369	$8K
90961		8.9%	165	165	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	337	321	$3K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	34	13	$419.20
90962		<1%	12	12	$337.32
99223	Prolong inpt eval add15 m	<1%	20	20	$282.48
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$194.20

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.