Physician
Valley Doctors Clinic of Brownsville PLLC
Valley Doctors Clinic of Brownsville PLLC was paid $436K by Medicaid between Jan 2018 and Aug 2024, across 46 billing codes. Its largest line is 99444, — 36% of everything it billed.
33Billing provider infoVALLEY DOCTORS CLINIC OF BROWNSVILLE PLLC
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
33aNPI1215245022assigned 09/15/2010
33bProvider typeCardiovascular Disease Physician
28Total paid$436K
24GClaims31,799
24DCodes billed46
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Texas
Rank by total paid#9 of 225
Median peer was paid$6K
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 | 10,273 | $171K | |
| 2019 | 8,090 | $109K | |
| 2020 | 4,401 | $30K | |
| 2021 | 4,274 | $47K | |
| 2022 | 3,405 | $57K | |
| 2023 | 994 | $17K | |
| 2024incomplete | 362 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 36% | 2,739 | 746 | $157K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 8,650 | 2,749 | $91K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 12% | 2,038 | 978 | $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 | 8.4% | 2,218 | 1,995 | $37K |
| 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 | 7.3% | 1,684 | 1,577 | $32K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.4% | 4,700 | 4,273 | $24K |
| 99223 | Prolong inpt eval add15 m | 3.3% | 1,127 | 1,054 | $14K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 1.6% | 1,939 | 1,939 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 453 | 228 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 294 | 276 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 390 | 367 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 251 | 249 | $2K |
34 more codes
| 0011A | <1% | 218 | $2K | |
| 99318 | <1% | 126 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 631 | $1K |
| 0012A | <1% | 152 | $1K | |
| 0134A | <1% | 64 | $800.00 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 25 | $525.14 |
| 0064A | <1% | 177 | $520.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 49 | $493.30 |
| 0003A | <1% | 75 | $440.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $285.20 |
| 0013A | <1% | 51 | $200.00 | |
| 99422 | <1% | 71 | $190.81 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 53 | $154.06 |
| 0031A | <1% | 34 | $56.78 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 335 | $0.00 |
| 1126F | 0% | 29 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 335 | $0.00 |
| 1170F | 0% | 354 | $0.00 | |
| 90686 | 0% | 16 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 336 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 93 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $0.00 |
| 1111F | 0% | 203 | $0.00 | |
| 1125F | 0% | 134 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 110 | $0.00 |
| 1090F | 0% | 332 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 55 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 357 | $0.00 |
| 3725F | 0% | 346 | $0.00 | |
| 3288F | 0% | 347 | $0.00 | |
| 99307 | 0% | 20 | $0.00 | |
| 90756 | 0% | 22 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 85 | $0.00 |
| 77080 | 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 officialPELLY, LORENZO (MANAGING MEMBER)