Valecha, Gautam
Valecha, Gautam was paid $29K by Medicaid between Oct 2023 and Dec 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 51% of everything it billed.
33Billing provider infoVALECHA, GAUTAM
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1235579632assigned 06/28/2013
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$29K
24GClaims436
24DCodes billed4
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Mexico
Rank by total paid#5 of 14
Median peer was paid$11K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2023 | 12 | $685.41 | |
| 2024incomplete | 424 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 51% | 193 | 154 | $15K |
| 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 | 34% | 133 | 114 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 98 | 60 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 12 | 12 | $685.41 |
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.